| NPI | 1164786240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLETTE JOHNSON-BLISS VP Finance & Technology 605-444-6318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: SD 10522) |
| Enumeration Date | 2012-07-03 |
| Last Update Date | 2012-07-25 |