NPI | 1215918339 |
---|---|
Former Legal Business Name | LEWIS & CLARK MENTAL HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | BRENDA HOXENG Administrative Assistant 605-665-4606 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
101Y00000X Counselor | |
103T00000X Psychologist | |
104100000X Social Worker | |
Enumeration Date | 2005-11-07 |
Last Update Date | 2017-03-15 |