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Organization

CATHOLIC CHARITIES OF WYOMING INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT C MAYOR (EXECUTIVE DIRECTOR)
(307) 532-4197
Entity
Organization

Contact information

Practice address
2315 BENT AVE, CHEYENNE, WY 82001-2959
(307) 637-0554
Mailing address
PO BOX 1026, TORRINGTON, WY 82240-1026

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
2084P0800X
Psychiatry Physician
7552A
WY
251B00000X
Case Management Agency
1
WY
253J00000X
Foster Care Agency
1
WY

Other

Enumeration date
12/06/2010
Last updated
10/29/2014
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