| Sweetwater County Child Developmental Center | |
|
1715 Hitching Post Green River WY 82935-5783 | |
| (307) 875-0268 | |
| (307) 875-3805 |
| Full Name | Sweetwater County Child Developmental Center |
|---|---|
| Speciality | Clinic/center |
| Location | 1715 Hitching Post, Green River, Wyoming |
| Authorized Official Name and Position | Lucinda Kasper (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3078750268 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sweetwater County Child Developmental Center 1715 Hitching Post Green River WY 82935-5783 Ph: (307) 875-0268 | Sweetwater County Child Developmental Center 1715 Hitching Post Green River WY 82935-5783 Ph: (307) 875-0268 |
| NPI Number | 1740407113 |
|---|---|
| Provider Enumeration Date | 04/19/2007 |
| Last Update Date | 10/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740407113 | NPI | - | NPPES |
| 106469000 | Medicaid | WY |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Secondary |
| 261Q00000X | Clinic/center | (Wyoming) | Primary |
Wraparound Of Sweetwater County Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Greasewood St, Green River, WY 82935 Phone: 307-871-3866 |