Organization
ON TARGET CLINICAL CASE MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROXANNA DYE (CASE MANAGER)
(402) 459-0065
Entity
Organization
Contact information
Practice address
26 E WENTWORTH ST, NEWCASTLE, WY 82701-2237
(402) 459-0065
Mailing address
26 E WENTWORTH ST, NEWCASTLE, WY 82701-2237
(402) 459-0065
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
—
—
Other
Enumeration date
10/01/2020
Last updated
10/01/2020
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