Organization
DEVELOPMENTAL PRESCHOOL AND DAY CARE CENTER
Active
Organization
DEVELOPMENTAL PRESCHOOL AND DAY CARE CENTER
Active
Other names
Developmental Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME STINE (EXECUTIVE DIRECTOR)
(307) 742-3571
Entity
Organization
Contact information
Practice address
1771 CENTENNIAL DRIVE, LARAMIE, WY 82070
(307) 742-3571
(307) 742-6397
Mailing address
1771 CENTENNIAL DRIVE, SUITE 220, LARAMIE, WY 82070
(307) 742-3571
(307) 742-6397
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
106155100
—
WY
05
—
106155111
—
WY
Enumeration date
02/23/2007
Last updated
01/20/2016
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