NPI 1881071355

Jackson Hole Behavioral Services, LLC

Organisation Early Intervention Provider Agency Laramie, WY

Practice location

Address: 1050 N 3rd St, Laramie, WY 82072-2544
Phone: (715) 829-5195
Mailing address: PO Box 20310 Unit# 55984, Cheyenne, WY 82003-7007

Authorised official

Name: Brad Dickey
Title: Director
Phone: (715) 829-5195

Registered specialties

Early Intervention Provider Agency Primary

Agencies Taxonomy 252Y00000X Licence 1-12-11844

Other Early Intervention Provider Agency providers in Wyoming →

Registry record

NPI: 1881071355
Entity type: Organization
NPI issued: 4 May 2015
Record last updated: 5 Oct 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.