Provider Demographics
NPI:1861841595
Name:ACCEPTANCE AND ABILITY FOCUSED SERVICES AND SUPPORT INC
Entity Type:Organization
Organization Name:ACCEPTANCE AND ABILITY FOCUSED SERVICES AND SUPPORT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED AGENT
Authorized Official - Prefix:MS
Authorized Official - First Name:KYLA
Authorized Official - Middle Name:MICHELLE
Authorized Official - Last Name:MAESTAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:307-371-2331
Mailing Address - Street 1:2011 JOHNSON AVE
Mailing Address - Street 2:
Mailing Address - City:ROCK SPRINGS
Mailing Address - State:WY
Mailing Address - Zip Code:82901
Mailing Address - Country:US
Mailing Address - Phone:307-371-2331
Mailing Address - Fax:307-382-5551
Practice Address - Street 1:2011 JOHNSON AVE
Practice Address - Street 2:
Practice Address - City:ROCK SPRINGS
Practice Address - State:WY
Practice Address - Zip Code:82901
Practice Address - Country:US
Practice Address - Phone:307-371-2331
Practice Address - Fax:307-382-5551
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-03
Last Update Date:2016-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WY251B00000X
251C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No251B00000XAgenciesCase Management