| Cathedral Home For Children | |
|
4989 N 3rd St Laramie WY 82072-9548 | |
| (307) 745-8997 | |
| Not Available |
| Full Name | Cathedral Home For Children |
|---|---|
| Speciality | Psychiatric Residential Treatment Facility |
| Location | 4989 N 3rd St, Laramie, Wyoming |
| Authorized Official Name and Position | Nicole Hauser (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3077458997 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cathedral Home For Children 4989 N 3rd St Laramie WY 82072-9548 Ph: (307) 745-8997 | Cathedral Home For Children 4989 N 3rd St Laramie WY 82072-9548 Ph: (307) 745-8997 |
| NPI Number | 1003301904 |
|---|---|
| Provider Enumeration Date | 06/25/2018 |
| Last Update Date | 06/09/2023 |
| Certification Date | 06/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003301904 | NPI | - | NPPES |
| 10026747700 | Medicaid | NE | |
| 83-069092 | Medicaid | WY |
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