S48wy4, Llc | |
606 23rd St Rawlins WY 82301-5127 | |
(307) 324-8820 | |
Not Available |
Full Name | S48wy4, Llc |
---|---|
Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
Location | 606 23rd St, Rawlins, Wyoming |
Authorized Official Name and Position | Amanda Constantino (HUMAN RESOURCES) |
Authorized Official Contact | 3072653791 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
S48wy4, Llc 231 S Wilson St Casper WY 82601-2941 Ph: (307) 265-3791 | S48wy4, Llc 606 23rd St Rawlins WY 82301-5127 Ph: (307) 324-8820 |
NPI Number | 1477144160 |
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Provider Enumeration Date | 01/27/2021 |
Last Update Date | 01/27/2021 |
Certification Date | 01/11/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477144160 | NPI | - | NPPES |
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