NPI | 1508900507 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD FRANCIS BIRD Program Director 605-698-3917 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: SD 42828) |
Enumeration Date | 2007-02-16 |
Last Update Date | 2020-08-22 |