| NPI | 1003867029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TESS MOELLER Exec VP 605-622-2807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: SD 10525) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital (Licence: SD 10525) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2022-07-15 |