Wyoming Behavior LLC

NPI #1295507358 in Cheyenne, Wyoming

Provider Information

NPI Number
1295507358
Entity Type
Organization
Organization Name
Wyoming Behavior LLC
Primary Specialty
Community/Behavioral Health
Enumeration Date
Oct 23, 2023
Last Updated
Oct 23, 2023

Practice Location

Address
212 E 22ND ST STE MP
State
Wyoming
ZIP Code
82001-3729
Phone
(718) 633-4411

Authorized Official

Name
ISRAEL BENEDE
Title
CEO
Phone
(718) 633-4411

Specialties & Taxonomy Codes

Specialty
Community/Behavioral Health

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