| NPI | 1366309700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAI MIMMACK Executive Director 605-990-3733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2026-01-07 |
| Last Update Date | 2026-02-17 |