| NPI | 1659498251 |
|---|---|
| Doing Business As | WYSTAR |
| Entity Type | Organization |
| Authorized Contact | PAMELA PELDO Executive Director 307-672-2044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-08-22 |