S48wy4, LLC

NPI #1427648534 in Rawlins, Wyoming

Provider Information

NPI Number
1427648534
Entity Type
Organization
Organization Name
S48wy4, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
S48WY1, LLC
Primary Specialty
Clinic/Center - Rehabilitation, Substance Use Disorder
Enumeration Date
Jan 22, 2021
Last Updated
Jan 22, 2021

Practice Location

Address
606 23RD ST
State
Wyoming
ZIP Code
82301-5127
Phone
(307) 324-8820

Authorized Official

Name
AMANDA CONSTANTINO
Title
HUMAN RESOURCES
Phone
(307) 265-3791

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Rehabilitation, Substance Use DisorderRehabilitation, Substance Use Disorder

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