Magic City Enterprises, INC

NPI #1194895359 in Cheyenne, Wyoming

Provider Information

NPI Number: 1194895359
Entity Type: Organization
Organization Name: Magic City Enterprises, INC
Primary Specialty: Day Training, Developmentally Disabled Services
Enumeration Date: Nov 8, 2006
Last Updated: Sep 17, 2020

Practice Location

Address: 1780 WESTLAND RD
City: Cheyenne
State: Wyoming
ZIP Code: 82001-3322
Phone: (307) 637-8869

Authorized Official

Name: MS. MANDY JANE LILEY
Title: VICE PRESIDENT OF BUSINESS SERVICES
Phone: (307) 637-8869

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X
Day Training, Developmentally Disabled Services	251C00000X	Primary

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