| NPI | 1902937394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R JOHNSON Executive Director 605-988-9102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2007-03-08 |
| Last Update Date | 2020-08-22 |