Cheyenne Habiltition & Therapeutic Center

NPI #1104150465 in Cheyenne, Wyoming

Provider Information

NPI Number: 1104150465
Entity Type: Organization
Organization Name: Cheyenne Habiltition & Therapeutic Center
Primary Specialty: Case Management
Enumeration Date: Sep 18, 2009
Last Updated: Sep 18, 2009

Practice Location

Address: 1616 E 19TH ST
Address 2: SUITE 4
City: Cheyenne
State: Wyoming
ZIP Code: 82001-4946
Phone: (307) 433-1110

Authorized Official

Name: KIMBERLY D ELFERING
Title: OWNER
Phone: (307) 433-1110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X	Primary

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