Organization
I-REACH 2 INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TINA M CONLEY M.A. (EXECUTIVE DIRECTOR)
(307) 265-8086
Entity
Organization
Contact information
Practice address
351 N LENNOX ST, CASPER, WY 82601-2259
(307) 265-8086
Mailing address
PO BOX 1060, EVANSVILLE, WY 82636-1060
(307) 265-8086
(307) 473-5588
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117300600
—
WY
Enumeration date
05/09/2007
Last updated
03/22/2018
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