| NPI | 1811017155 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL COLSON Executive Officer 605-334-6004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: SD R51) |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility (Licence: SD R45) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2016-04-06 |