| NPI | 1083740369 |
|---|---|
| Other Name | DEVELOPMENTAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JAIME STINE Executive Director 307-742-3571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2016-01-20 |