Individual provider · Type 1 NPI
Tammy Van Horn
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Gillette, WY
Practice location
615 Townsend
Gillette, WY 82716-3128
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
About NPI 1730040981
Tammy Van Horn's National Provider Identifier is 1730040981, issued on Nov 18, 2025. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Gillette, WY. The record was last updated on Nov 18, 2025.