# ROOT AND BLOOM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326829987
- **Authorized official:** SARAH STOUT (ADMIN)
- **Authorized official phone:** (605) 858-4524

## Contact information

- **Practice address:** 630 SAINT JOSEPH ST, RAPID CITY, SD 57701
- **Practice address phone:** (605) 517-2005
- **Mailing address:** PO BOX 233, HILL CITY, SD 57745-0233
- **Mailing address phone:** (605) 858-4524

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/10/2023
- **Last updated:** 10/10/2023