NPI | 1891823332 |
---|---|
Other Name | SOARING EAGLE TREATMENT CENTER |
Entity Type | Organization |
Authorized Contact | CARLA SUE DENNIS Clinical Supervisor 605-718-4870 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: SD R72 97406) |
324500000X Substance Abuse Rehabilitation Facility | |
2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SD 1887) | |
Enumeration Date | 2007-02-28 |
Last Update Date | 2020-08-22 |