Organization
ALLIANCE FOR SELF-DETERMINATION, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA M OSWALD (CEO/PRESIDENT)
(307) 638-1979
Entity
Organization
Contact information
Practice address
6501 JULIA RD, CHEYENNE, WY 82009-8481
(307) 638-1979
Mailing address
6501 JULIA RD, CHEYENNE, WY 82009-8481
(307) 638-1979
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
WY
251C00000X
Developmentally Disabled Services Day Training Agency
—
WY
Other
Enumeration date
02/05/2008
Last updated
03/13/2008
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