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NPI 1073972972

OrganizationActive

Boys & Girls Club of Evanston

NPI 1073972972 · Case Management Agency · Evanston, WY

Provider details

NPI number: 1073972972
Entity type: Organization
Primary specialty: Case Management AgencyAgencies
Organization subpart: No
Authorized official: Holly Slade, Ceo(307) 444-2582

Specialties & taxonomies

Case Management AgencyPrimary251B00000X
Agencies

Practice location

419 4th St

Evanston, WY 82930-3616

Phone: (307) 444-2582

Approximate (ZIP-level) locationGet directions

More WY providers

Mailing address

419 4th St

Evanston, WY 82930-3616

Registry dates

Enumerated: 2016-02-19
Last updated: 2016-02-19

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Boys & Girls Club of Evanston — NPI 1073972972, Evanston, WY | NPI Central