Big Horn Basin Association Adolescent Programs

NPI 1043644545 - Foster Care Agency - 253J00000X

NPI Details
NPI 1043644545
Enumeration Date 09/03/2013
Last Updated 09/03/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name BROCK BROCK
Position DIRECTOR
Phone (307) 568-2222
Fax (307) 568-2982
Practice Location
967 HWY 20 SOUTH
BASIN WY, 82410, US
Phone (307) 568-2222
Fax (307) 568-2982
Business Location
PO BOX 858
BASIN WY, 82410-0858, US
Phone (307) 568-2222
Fax (307) 568-2982
Toxanomy
Taxonomy Code 253J00000X
License State Wyoming
License Number 1708G
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According to our database, Big Horn Basin Association Adolescent Programs NPI is 1043644545, taxonomy code is 253J00000X and license number is 1708G, license state is located at Wyoming. Big Horn Basin Association Adolescent Programs physically located at 967 Hwy 20 South, Basin WY, 82410. NPI Number 1033115704 has the healthcare provider type.

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1043644545 NPI number is provided on an as is basis without warranty of any kind. 1043644545 is maintained by the National Plan & Provider Enumeration System. The contents of Big Horn Basin Association Adolescent Programs are for informational purposes only.