NPI | 1902057631 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRYL M BLUE-WHITE EYES Director 605-455-2331 |
Organization Subpart ? | Yes |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: SD 460248724) |
Enumeration Date | 2008-09-30 |
Last Update Date | 2008-09-30 |