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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