| NPI | 1003954892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE A RHOADES Executive Director 307-746-3541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QD1600X Clinic/Center, Developmental Disabilities |
| Additional Taxonomies | 225100000X Physical Therapist |
| 225X00000X Occupational Therapist | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2017-01-27 |