NPI | 1205369576 |
---|---|
Doing Business As | ARC OF WYOMING |
Entity Type | Organization |
Authorized Contact | ELINA CHERNYAK Medical Director 970-306-2737 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2017-04-04 |
Last Update Date | 2017-04-04 |