| NPI | 1528657590 |
|---|---|
| Doing Business As | WYOMING RECOVERY |
| Entity Type | Organization |
| Authorized Contact | AMANDA CONSTANTINO Human Resources 307-265-3791 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-01-14 |