Region V Boces
Organization Active NPI Emotionally Disturbed Childrens' Residential Treatment Facility · Wilson, WY
NPI 1801159447 · NPPES record last updated Jun 19, 2012
Key facts
- NPI
- 1801159447
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment Facility 322D00000X
- License
- LCSW-291 (WY)
- Legal business name
- REGION V BOCES
- Practice address
- 3850 North Wilderness Drive
Wilson, WY 83014-0240 - Phone
- (307) 733-8210
- Fax
- (307) 733-8462
- NPI assigned
- Jun 19, 2012
- Organization subpart
- No
Authorized official
- Name
- Mr. Maurice Keith Mader, M.S.W./L.C.S.W.
- Title
- School and Clinical Social Worker
- Phone
- (307) 733-8210
Corporate family (same tax ID) 2
National Provider Directory
- Tax ID family
- C-V Ranch
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility | 322D00000X | LCSW-291 | WY | Yes |
Addresses
Primary practice location
3850 North Wilderness Drive
Wilson, WY 83014-0240
Mailing address
PO Box 240
Wilson, WY 83014-0240
Phone (307) 733-8210
Other providers in Wilson, WY
- Laura Lea Perez
- Pro-Motion Chiropractic and Rehabilitation
- Red Top Meadows
- Region V Board of Cooperative Educational Services
- Region V Boces
- David R Shlim
- Victoria Menghetti Smith
- Snake River Orthopedics PC
- Joseph Anthony Sorge
- Mayling Sumicad
All providers in Wilson, WY · Emotionally Disturbed Childrens' Residential Treatment Facility in Wyoming
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.