| Souly Unique Llc | |
|
3913 Peregrine St Rock Springs WY 82901-3490 | |
| (307) 371-2479 | |
| Not Available |
| Full Name | Souly Unique Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 3913 Peregrine St, Rock Springs, Wyoming |
| Authorized Official Name and Position | Anna Chytka (OWNER) |
| Authorized Official Contact | 3073712479 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Souly Unique Llc 3913 Peregrine St Rock Springs WY 82901-3490 Ph: (307) 371-2479 | Souly Unique Llc 3913 Peregrine St Rock Springs WY 82901-3490 Ph: (307) 371-2479 |
| NPI Number | 1194175133 |
|---|---|
| Provider Enumeration Date | 06/21/2016 |
| Last Update Date | 06/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194175133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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