Provider Demographics
NPI:1962139592
Name:WRAPAROUND OF SWEETWATER COUNTY
Entity type:Organization
Organization Name:WRAPAROUND OF SWEETWATER COUNTY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PROGRAM DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JEANETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:PALADINO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-871-3866
Mailing Address - Street 1:360 GREASEWOOD ST
Mailing Address - Street 2:
Mailing Address - City:GREEN RIVER
Mailing Address - State:WY
Mailing Address - Zip Code:82935-4722
Mailing Address - Country:US
Mailing Address - Phone:307-871-3866
Mailing Address - Fax:
Practice Address - Street 1:360 GREASEWOOD ST
Practice Address - Street 2:
Practice Address - City:GREEN RIVER
Practice Address - State:WY
Practice Address - Zip Code:82935-4722
Practice Address - Country:US
Practice Address - Phone:307-871-3866
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health