Organization
NORTHWEST WYOMING BOCES
Active
Other names
Big Horn Basin Children's Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROLYN J CONNER (ADMINISTRATIVE DIRECTOR)
(307) 864-5269
Entity
Organization
Contact information
Practice address
250 EAST ARAPAHOE STREET, THERMOPOLIS, WY 82443
(307) 864-2171
(307) 864-9463
Mailing address
250 E. ARAPAHOE, P O BOX 112, THERMOPOLIS, WY 82443
(307) 864-2171
(307) 864-9463
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
9601
WY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11886601
—
WY
Enumeration date
02/05/2007
Last updated
08/22/2020
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