| NPI | 1063668325 |
|---|---|
| Doing Business As | WYO. CO. CHEMICAL ABUSE TX PROGRAM |
| Entity Type | Organization |
| Authorized Contact | BARBARA JEAN MANN Office Manager 585-786-8133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |