NPI 1891994950

S48wy1, LLC

Organisation Substance Abuse Rehabilitation Facility Casper, WY

Practice location

Address: 231 S. Wilson, Casper, WY 82601
Phone: (307) 265-3791
Fax: (307) 265-4480

Authorised official

Name: Amanda Constantino
Title: Provider Enrollment
Phone: (307) 265-3791

Registered specialties

Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 324500000X

Other Substance Abuse Rehabilitation Facility providers in Wyoming →

Registry record

NPI: 1891994950
Entity type: Organization
NPI issued: 17 Jul 2007
Record last updated: 14 Jan 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.