| NPI | 1821271933 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A. COYNE Secretary/Treasurer 307-359-1640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 385HR2060X Respite Care, Respite Care, Intellectual and/or Developmental Disabilities, Child (Licence: WY pending) |
| Additional Taxonomies | 251B00000X Case Management (Licence: WY pending) |
| 251S00000X (Licence: WY pending) | |
| 251C00000X Day Training, Developmentally Disabled Services (Licence: WY pending) | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: WY pending) | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: WY pending) | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: WY pending) | |
| 385HR2055X Respite Care, Respite Care, Mental Illness, Child (Licence: WY pending) | |
| 385HR2065X Respite Care, Respite Care, Physical Disabilities, Child (Licence: WY pending) | |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: WY pending) | |
| 385H00000X Respite Care (Licence: WY pending) | |
| Enumeration Date | 2007-12-12 |
| Last Update Date | 2007-12-21 |