Early Intervention Program
NPI #1982933065 in Fort Washakie, Wyoming
Provider Information
- NPI Number
- 1982933065
- Entity Type
- Organization
- Organization Name
- Early Intervention Program
- Primary Specialty
- Day Training, Developmentally Disabled Services
- Enumeration Date
- Dec 18, 2009
- Last Updated
- Dec 18, 2009
Practice Location
- Address
- 9 FORT WASHAKIE SCHOOL RD
- City
- Fort Washakie
- State
- Wyoming
- ZIP Code
- 82514-9601
- Phone
- (307) 332-3516
Authorized Official
- Name
- MR. JOSEPH J. SMITH JR.
- Title
- BUSINESS MANAGER
- Phone
- (307) 332-3516
Specialties & Taxonomy Codes
| Specialty |
|---|
| Day Training, Developmentally Disabled Services |
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