| NPI | 1437904729 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE ROBECK Managing Owner 605-484-7751 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-04-19 |
| Last Update Date | 2024-04-19 |