| NPI | 1114398286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA HORSMAN Director 605-720-7170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: TX 57080) |
| Enumeration Date | 2015-10-14 |
| Last Update Date | 2015-10-14 |