Souly Unique Llc | |
3913 Peregrine St Rock Springs WY 82901-3490 | |
(307) 371-2479 | |
Not Available |
Full Name | Souly Unique Llc |
---|---|
Speciality | Community/behavioral Health |
Location | 3913 Peregrine St, Rock Springs, Wyoming |
Authorized Official Name and Position | Anna Chytka (OWNER) |
Authorized Official Contact | 3073712479 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Souly Unique Llc 3913 Peregrine St Rock Springs WY 82901-3490 Ph: (307) 371-2479 | Souly Unique Llc 3913 Peregrine St Rock Springs WY 82901-3490 Ph: (307) 371-2479 |
NPI Number | 1194175133 |
---|---|
Provider Enumeration Date | 06/21/2016 |
Last Update Date | 06/21/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194175133 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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