| NPI | 1629235627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY WOOD-FOSSEN Director 605-347-3003 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: SD Accreditation) |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2017-04-18 |