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Organization
HORSEPLAY PRODUCTIONS HEALING CENTER, INC.
Active
Organization
HORSEPLAY PRODUCTIONS HEALING CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARI LYNN BRADSTREAM MS, EAGALA CERTIFIED (CHIEF EXECUTIVE OFFICER)
(605) 343-1620
Entity
Organization
Contact information
Practice address
1101 E. PHILADELPHIA STREET, RAPID CITY, SD 57701
(805) 343-1620
(605) 343-1629
Mailing address
PO BOX 276, RAPID CITY, SD 57709-0276
(805) 343-1620
(605) 343-1629
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
102274
SD
101YM0800X
Mental Health Counselor
Primary
LPC1102
SD
Other
Enumeration date
09/08/2010
Last updated
09/08/2010
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