| NPI | 1831581719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENE HINES Assistant Director 307-332-3516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: WY 129040100) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2017-04-28 |