Individual provider · Type 1 NPI
Gwen Treese
Child Intellectual and/or Developmental Disabilities Respite Care · Thermopolis, WY
Practice location
214 US Highway 20 S Unit B
Thermopolis, WY 82443-9512
Mailing address
214 Hwy 20 So.
Thermopolis, WY 82443
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Developmentally Disabled Services Day Training Agency | 251C00000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
| Child Intellectual and/or Developmental Disabilities Respite Care Primary | 385HR2060X | None listed |
Child Intellectual and/or Developmental Disabilities Respite Care: A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
About NPI 1144368663
Gwen Treese's National Provider Identifier is 1144368663, issued on Feb 5, 2007. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Thermopolis, WY. The record was last updated on Sep 11, 2025.