NPI | 1174664601 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA BOLLINGER President CEO 605-339-1199 |
Organization Subpart ? | No |
Primary Taxonomy | 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: SD 10522) |
Additional Taxonomies | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: SD 10522) |
323P00000X Psychiatric Residential Treatment Facility (Licence: SD 10522) | |
324500000X Substance Abuse Rehabilitation Facility (Licence: SD 10522) | |
Enumeration Date | 2007-02-09 |
Last Update Date | 2020-08-22 |