Organization
THE CHILDREN'S LEARNING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVEY HOUGH (SPECIAL EDUCATION DIRECTOR)
(307) 733-3791
Entity
Organization
Contact information
Practice address
3105 W BIG TRAIL DR, JACKSON, WY 83001-9296
(307) 733-3791
Mailing address
PO BOX 4100, JACKSON, WY 83001-4100
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100155800
—
WY
Enumeration date
03/09/2007
Last updated
09/06/2016
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