| NPI | 1174664601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALLIE KLUDT Chief Operations Officer 605-444-6319 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: SD 10522) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: SD 10522) |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: SD 10522) | |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2025-09-23 |