NPI | 1053526673 |
---|---|
Entity Type | Organization |
Authorized Contact | KIMBERLY MOORE Business Mgr 605-996-2486 |
Organization Subpart ? | No |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
101YA0400X Counselor, Addiction (Substance Use Disorder) | |
Enumeration Date | 2007-05-14 |
Last Update Date | 2011-04-21 |