NPI | 1619010543 |
---|---|
Entity Type | Organization |
Authorized Contact | MIKE SCHREIBER Facility Administrator 605-234-5525 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: SD R 105) |
Enumeration Date | 2007-02-14 |
Last Update Date | 2020-08-22 |