Organization
MAGELLAN HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JUDITH ANN PREWITT M. ED (PROVIDER)
(307) 265-8298
Entity
Organization
Contact information
Practice address
8035 W CHALK CREEK RD, CASPER, WY 82604-1744
(307) 265-8298
Mailing address
8035 W CHALK CREEK RD, CASPER, WY 82604-1744
(307) 265-8298
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
WY
302R00000X
Health Maintenance Organization
Primary
—
WY
Other
Enumeration date
12/01/2015
Last updated
12/01/2015
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