Individual provider · Type 1 NPI
Lisa Michelle Courtney, PROVIDER
Child Intellectual and/or Developmental Disabilities Respite Care · Cody, WY
Practice location
2508 Central Ave
Cody, WY 82414-9797
Mailing address
PO Box 2081
Cody, WY 82414-2081
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
Another provider at this address
Other child intellectual and/or developmental disabilities respite care providers in Cody
About NPI 1194917203
Lisa Michelle Courtney, PROVIDER's National Provider Identifier is 1194917203, issued on Aug 13, 2007. The primary taxonomy on file is Child Intellectual and/or Developmental Disabilities Respite Care (385HR2060X), and the practice location is in Cody, WY. The record was last updated on Aug 13, 2007.