| NPI | 1013058718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE GUBBRUD Executive Director 605-352-4368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: SD R130) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: SD R97) |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: SD 408) | |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2015-08-24 |