Organization · Type 2 NPI

S48wy4, LLC

Substance Use Disorder Rehabilitation Clinic/Center · Rawlins, WY

NPI number 1770088130 Active

Practice location

606 23rd St
Rawlins, WY 82301-5127

Fax (307) 333-0261

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Clinical Social Worker 1041C0700XNone listed
Community Health Worker 172V00000XNone listed
Psychiatry Physician 2084P0800XNone listed
Substance Use Disorder Rehabilitation Clinic/Center Primary 261QR0405XNone listed
Nurse Practitioner 363L00000XNone listed

Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...

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About NPI 1770088130

S48wy4, LLC's National Provider Identifier is 1770088130, issued on Mar 28, 2018. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Rawlins, WY. The record was last updated on Sep 12, 2019.