The West Village - Youth Ranch

NPI #1285088005 in Gillette, Wyoming

Provider Information

NPI Number
1285088005
Entity Type
Organization
Organization Name
The West Village - Youth Ranch
Primary Specialty
Case Manager/Care Coordinator
Enumeration Date
Apr 18, 2016
Last Updated
Apr 18, 2016

Practice Location

Address
203 CAREY AVE
Address 2
# 5
State
Wyoming
ZIP Code
82716-3813
Phone
(307) 685-3670

Authorized Official

Name
MRS. MARIE D SNEED
Title
CARE COORDINATOR
Phone
(307) 685-3670

Specialties & Taxonomy Codes

Specialty
Case Manager/Care Coordinator

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