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 |