| Wind River Wraparound | |
|
16 Sandhills Rd. Lander WY 82520 | |
| (307) 349-5647 | |
| Not Available |
| Full Name | Wind River Wraparound |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 16 Sandhills Rd., Lander, Wyoming |
| Authorized Official Name and Position | Brian N. Enos (MANAGER) |
| Authorized Official Contact | 3073495647 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wind River Wraparound Po Box 82 Fort Washakie WY 82514-0082 Ph: (307) 349-5647 | Wind River Wraparound 16 Sandhills Rd. Lander WY 82520 Ph: (307) 349-5647 |
| NPI Number | 1689288201 |
|---|---|
| Provider Enumeration Date | 09/01/2020 |
| Last Update Date | 09/01/2020 |
| Certification Date | 08/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689288201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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