Organization · Type 2 NPI
Region V Boces
Emotionally Disturbed Childrens' Residential Treatment Facility · Wilson, WY
Practice location
3850 North Wilderness Drive
Wilson, WY 83014-0240
Fax (307) 733-8462
Mailing address
PO Box 240
Wilson, WY 83014-0240
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Emotionally Disturbed Childrens' Residential Treatment Facility Primary | 322D00000X | LCSW-291 (WY) |
Emotionally Disturbed Childrens' Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
Another provider at this address
Other emotionally disturbed childrens' residential treatment facility providers in Wilson
About NPI 1801159447
Region V Boces's National Provider Identifier is 1801159447, issued on Jun 19, 2012. The primary taxonomy on file is Emotionally Disturbed Childrens' Residential Treatment Facility (322D00000X), and the practice location is in Wilson, WY. The record was last updated on Jun 19, 2012.