| Organization Name: | SWEETWATER COUNTY CHILD DEVELOPMENTAL CENTER |
| NPI Number: | 1740407113 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | LUCINDA KASPER (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1715 Hitching Post Green River |
| State: | WY US |
| Postal Code: | 829355783 |
| Phone Number: | 3078750268 |
| Fax Number: | 3078753805 |
| NPI Enumeration Date: | 04/19/2007 |
| NPI Last Update Date: | 10/26/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
| Taxonomy Definition: | |