| NPI | 1891994950 |
|---|---|
| Doing Business As | WYOMING RECOVERY |
| Entity Type | Organization |
| Authorized Contact | AMANDA CONSTANTINO Provider Enrollment 307-265-3791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2021-01-14 |