| NPI | 1659411171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE GREEN Facility Administrator 605-369-2585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |