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Organization
BLACK HILLS CENTER FOR HEALING AND ADVANCEMENT OF PSYCHOTHERAPY PLC
Active
Organization
BLACK HILLS CENTER FOR HEALING AND ADVANCEMENT OF PSYCHOTHERAPY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH OSTOLOZAGA LCSW-PIP (OWNER)
(605) 440-2287
Entity
Organization
Contact information
Practice address
2525 W MAIN ST STE 303A6, RAPID CITY, SD 57702-2437
(605) 440-2287
(605) 791-2086
Mailing address
2525 W MAIN ST STE 303A6, RAPID CITY, SD 57702-2437
(605) 440-2287
(605) 791-2086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
NULL
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013208
—
SD
Enumeration date
01/31/2019
Last updated
01/31/2019
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