| NPI | 1740473115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES GILSON Director 605-673-2521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2007-08-20 |