Northeast Wyoming Boces

NPI #1437328663 in Gillette, Wyoming

Provider Information

NPI Number: 1437328663
Entity Type: Organization
Organization Name: Northeast Wyoming Boces
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Feb 21, 2008
Last Updated: Feb 21, 2008

Practice Location

Address: 410 N MILLER AVE
City: Gillette
State: Wyoming
ZIP Code: 82716-2929
Phone: (307) 682-0231

Authorized Official

Name: LAURIE L WALSH
Title: BUSINESS MANAGER
Phone: (307) 682-0231

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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