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 |