S48wy1, LLC
NPI #1891994950 in Casper, Wyoming
Provider Information
- NPI Number
- 1891994950
- Entity Type
- Organization
- Organization Name
- S48wy1, LLC
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Jul 17, 2007
- Last Updated
- Jan 14, 2021
Practice Location
Authorized Official
- Name
- MS. AMANDA CONSTANTINO
- Title
- PROVIDER ENROLLMENT
- Phone
- (307) 265-3791
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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