| NPI | 1407988108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARLA K KRUEGER Business Manager 605-339-1203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: SD 97333) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |