| Wyoming Fundamental Healing And Recovery Llc | |
|
800 Werner Ct Ste 300 Casper WY 82601-1325 | |
| (307) 439-6345 | |
| Not Available |
| Full Name | Wyoming Fundamental Healing And Recovery Llc |
|---|---|
| Speciality | Counselor |
| Location | 800 Werner Ct Ste 300, Casper, Wyoming |
| Authorized Official Name and Position | Robert Jay Barnosky (OWNER) |
| Authorized Official Contact | 3074723769 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wyoming Fundamental Healing And Recovery Llc 800 Werner Ct Ste 300 Casper WY 82601-1325 Ph: (307) 439-6345 | Wyoming Fundamental Healing And Recovery Llc 800 Werner Ct Ste 300 Casper WY 82601-1325 Ph: (307) 439-6345 |
| NPI Number | 1376350520 |
|---|---|
| Provider Enumeration Date | 12/11/2024 |
| Last Update Date | 12/11/2024 |
| Certification Date | 12/11/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376350520 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | (* (Not Available)) | Primary |
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