# NORTHEAST WYOMING BOCES

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437328663
- **Authorized official:** LAURIE L WALSH (BUSINESS MANAGER)
- **Authorized official phone:** (307) 682-0231

## Contact information

- **Practice address:** 410 N MILLER AVE, GILLETTE, WY 82716-2929
- **Practice address phone:** (307) 682-0231
- **Practice address fax:** (307) 686-7628
- **Mailing address:** 410 N MILLER AVE, GILLETTE, WY 82716-2929
- **Mailing address phone:** (307) 682-0231
- **Mailing address fax:** (307) 686-7628

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 124 | WY | Yes |

## Other

- **Enumeration date:** 02/21/2008
- **Last updated:** 02/21/2008
