| Northeast Wyoming Boces | |
|
410 N Miller Ave Gillette WY 82716-2929 | |
| (307) 682-0231 | |
| Not Available |
| Full Name | Northeast Wyoming Boces |
|---|---|
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
| Location | 410 N Miller Ave, Gillette, Wyoming |
| Authorized Official Name and Position | Kelly Tonn (PRINCIPAL) |
| Authorized Official Contact | 3076860231 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Northeast Wyoming Boces 410 N Miller Ave Gillette WY 82716-2929 Ph: (307) 682-0231 | Northeast Wyoming Boces 410 N Miller Ave Gillette WY 82716-2929 Ph: (307) 682-0231 |
| NPI Number | 1275834467 |
|---|---|
| Provider Enumeration Date | 11/04/2010 |
| Last Update Date | 11/04/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275834467 | NPI | - | NPPES |
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