Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health (Including Community Mental Health Center) |
261QM0801X | B4[14] | Community Mental Health Center |
| NPI # | 1902909914 |
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| LBN Legal business name | SIOUX TRAILS MENTAL HEALTH CENTER, INC | ||||
| Authorized official | CATHERINE JOB - (EXECUTIVE DIRECTOR) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 09/06/2006 | ||||
| Last updated | 04/22/2015 - About 11 years ago | ||||
| Identifiers |
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