| NPI | 1295090082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY ALAN VAN HUNNIK Executive Director 605-718-4870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2012-07-09 |
| Last Update Date | 2012-07-09 |