Search › Wyoming › Child Intellectual and/or Developmental Disabilities Respite Care
Mark Courtney, PROVIDER
NPI 1689866790 · on the registry since 2007 · sole proprietor
Practice
- Address
- 2508 Central Ave
Cody, WY 82414 - Phone
- (307) 527-4616
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- Child Intellectual and/or Developmental Disabilities Respite Care
385HR2060X
- Licence states on file
- WY
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2007-08-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wyoming