Organization
WIND RIVER WRAPAROUND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN N. ENOS (MANAGER)
(307) 349-5647
Entity
Organization
Contact information
Practice address
16 SANDHILLS RD., LANDER, WY 82520
(307) 349-5647
Mailing address
PO BOX 82, FORT WASHAKIE, WY 82514-0082
(307) 349-5647
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
09/01/2020
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