| NPI | 1720237548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENAE LEE TISDALL Chief Financial Officer 605-845-3692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SD 48404) |
| Enumeration Date | 2008-09-17 |
| Last Update Date | 2008-09-17 |