Organization
GOODWILL INDUSTRIES OF WY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE HARRISON (ACCOUNTANT)
(307) 634-0823
Entity
Organization
Contact information
Practice address
612 W 17TH ST, CHEYENNE, WY 82001-4343
(307) 634-0823
(307) 778-6655
Mailing address
612 W 17TH ST, CHEYENNE, WY 82001-4343
(307) 634-0823
(307) 778-6655
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
05/12/2009
Last updated
05/12/2009
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