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Organization

ST. JOSEPH'S CHILDREN'S HOME

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONDA MEYER (EXECUTIVE DIRECTOR)
(307) 532-4197
Entity
Organization

Contact information

Practice address
1419 MAIN ST, TORRINGTON, WY 82240-3340
(307) 532-4197
(307) 532-8405
Mailing address
1419 MAIN ST, TORRINGTON, WY 82240-3340
(307) 532-4197
(307) 532-8405

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
5405 I
WY
323P00000X
Psychiatric Residential Treatment Facility
Primary
5405I
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
111833101
WY
05
111833103
WY
05
111833104
WY
05
111833105
WY
05
200051290 A
OK
Enumeration date
02/21/2007
Last updated
12/14/2020
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