| NPI | 1720074644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARI JOHNSTON CEO 605-886-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: SD 704) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: SD 006) |
| 103T00000X Psychologist (Licence: SD 006) | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: SD 704) | |
| 2084P0800X Psychiatry & Neurology Psychiatry (Licence: SD 006) | |
| 2084P0802X Psychiatry & Neurology Addiction Psychiatry (Licence: SD 704) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: SD 006) | |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: SD 704) | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: SD 006) | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: SD 704) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: SD 006) | |
| 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: SD 704) | |
| Enumeration Date | 2005-09-26 |
| Last Update Date | 2024-08-06 |