Humble Beginnings

NPI #1962975185 in Cheyenne, Wyoming

Provider Information

NPI Number
1962975185
Entity Type
Organization
Organization Name
Humble Beginnings
Primary Specialty
Clinic/Center - Developmental Disabilities
Enumeration Date
Jan 10, 2019
Last Updated
Jan 10, 2019

Practice Location

Address
6606 WILDERNESS TRL
State
Wyoming
ZIP Code
82001-6180
Phone
(719) 580-8810

Authorized Official

Name
MR. JAMES ERNEST EDWARD MOORE
Title
CO-FOUNDER/CEO
Phone
(719) 580-8810

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Developmental DisabilitiesDevelopmental Disabilities

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