NPI | 1699133579 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL J BJERKNES CEO 605-622-5125 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2016-02-05 |
Last Update Date | 2025-04-07 |