| NPI | 1093278764 |
|---|---|
| Doing Business As | SANFORD HEALTH PRIMEWEST RESIDENTIAL SUPPORT CENTER |
| Entity Type | Organization |
| Authorized Contact | TONY LEE MORRISON Vice President, Revenue Cycle 605-328-8380 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251S00000X |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2023-11-27 |