On Target Clinical Case Management Services

NPI #1720685928 in Newcastle, Wyoming

Provider Information

NPI Number: 1720685928
Entity Type: Organization
Organization Name: On Target Clinical Case Management Services
Primary Specialty: Prevention Professional
Enumeration Date: Oct 1, 2020
Last Updated: Oct 1, 2020

Practice Location

Address: 26 E WENTWORTH ST
City: Newcastle
State: Wyoming
ZIP Code: 82701-2237
Phone: (402) 459-0065

Authorized Official

Name: ROXANNA DYE
Title: CASE MANAGER
Phone: (402) 459-0065

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Prevention Professional	405300000X	Primary

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