| |
915 S Mckinley St, Casper, WY 82601-3440 | |
(307) 267-7224 | |
(307) 265-2082 |
Full Name | |
---|---|
Type | Facility |
Speciality | Day Training, Developmentally Disabled Services |
Location | 915 S Mckinley St, Casper, Wyoming |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023346053 | NPI | - | NPPES |
116545300 | Medicaid | WY |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
Mailing Address | Practice Location Address |
---|---|
915 S Mckinley St, Casper, WY 82601-3440 Ph: (307) 267-7224 | 915 S Mckinley St, Casper, WY 82601-3440 Ph: (307) 267-7224 |