| NPI | 1225208010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIDA EAGLE BEAR Executive Director 605-747-2342 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2008-03-07 |
| Last Update Date | 2008-03-07 |