Region V Board of Cooperative Educational Services

NPI #1831442201 in Wilson, Wyoming

Provider Information

NPI Number: 1831442201
Entity Type: Organization
Organization Name: Region V Board of Cooperative Educational Services
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 22, 2012
Last Updated: Oct 22, 2012

Practice Location

Address: 3850 NORTH WILDERNESS DRIVE
City: Wilson
State: Wyoming
ZIP Code: 83025
Phone: (307) 733-8210

Authorized Official

Name: MS. MAYLING H SUMICAD, OTR/L
Title: OCCUPATIONAL THERAPIST
Phone: (307) 733-8210

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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