| NPI | 1093902132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE GUBBRUD Executive Director 605-352-4368 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: SD R97) |
| Enumeration Date | 2007-10-03 |
| Last Update Date | 2007-10-03 |