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A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Substance Abuse Disorder Rehabilitation Facility |
324500000X |
| NPI Number | 1891994950 |
| LBN Legal business name | S48WY1, LLC |
| Authorized official | AMANDA CONSTANTINO - (PROVIDER ENROLLMENT) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 07/17/2007 |
| Last updated | 01/14/2021 - About 5 years ago |
| Identifiers | n/a |
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| STAR VALLEY SENIOR CENTER INC 520 WASHINGTON AFTON, WY |
| ELISABETH HEUSINGFELD 389 ADAMS ST AFTON, WY |
| JONAH J GREEN, MD 110 HOSPITAL LN AFTON, WY |
S48WY1, LLC