Organization
S48WY4, LLC
Active
Parent organization
WYOMING RECOVERY
Other names
Wyoming Recovery of Rawlins
Organization subpart
Yes
Provider details
NPI number
Legal business name
WYOMING RECOVERY
Authorized official
AMANDA CONSTANTINO (HUMAN RESOURCES)
(307) 265-3791
Entity
Organization
Contact information
Practice address
606 23RD ST, RAWLINS, WY 82301-5127
(307) 324-8820
Mailing address
231 S WILSON ST, CASPER, WY 82601-2941
(307) 265-3791
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
01/27/2021
Last updated
01/27/2021
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