Region V Boces

NPI #1750642526 in Wilson, Wyoming

Provider Information

NPI Number: 1750642526
Entity Type: Organization
Organization Name: Region V Boces
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jun 7, 2012
Last Updated: Jul 21, 2022

Practice Location

Address: 3850 N. WILDERNESS DR.
City: Wilson
State: Wyoming
ZIP Code: 83014
Phone: (307) 733-8210

Authorized Official

Name: DR. JULIA GOLDENSOHN, PSY.D.
Title: PSYCHOLOGIST
Phone: (307) 733-8210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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