| NPI | 1841160819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENNAN THOMPSON Owner/Director 605-600-1713 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-11-06 |
| Last Update Date | 2025-11-06 |