Early Intervention Program
NPI #1831581719 in Fort Washakie, Wyoming
Provider Information
- NPI Number
- 1831581719
- Entity Type
- Organization
- Organization Name
- Early Intervention Program
- Primary Specialty
- Early Intervention Provider Agency
- Enumeration Date
- Mar 2, 2015
- Last Updated
- Apr 28, 2017
Practice Location
- Address
- 9 SHIPTON LANE
- City
- Fort Washakie
- State
- Wyoming
- ZIP Code
- 82514-0610
- Phone
- (307) 332-3516
Authorized Official
- Name
- LAURENE HINES
- Title
- ASSISTANT DIRECTOR
- Phone
- (307) 332-3516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Early Intervention Provider Agency |
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