Organization
C-V RANCH REGION V BOCES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS DONOHUE (EXECUTIVE DIRECTOR)
(307) 733-8210
Entity
Organization
Contact information
Practice address
3850 N. WILDERNESS DR., WILSON, WY 83014
(307) 733-8210
Mailing address
PO BOX 240, WILSON, WY 83014-0240
(307) 733-8210
(307) 733-8462
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
Other
Enumeration date
04/06/2007
Last updated
09/11/2025
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