EARLY INTERVENTION PROGRAM

NPI: 1831581719 · Organization · Active

Primary Specialty

Early Intervention Provider Agency

Practice Location

9 SHIPTON LANE
FORT WASHAKIE, WY 82514-0610 Map ↗
Phone: 307-332-3516
Fax: 307-332-9116

All Specialties & Licenses

  • Early Intervention Provider Agency Primary (license: 129040100, WY)

NPI Registration

Enumerated: 2015-03-02

Last CMS Update: 2017-04-28