Organization
NORTHERN HILLS ALCOHOL AND DRUG SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY KATHERINE WOOD-FOSSEN BS CCDC III (EXECUTIVE DIRECTOR)
(605) 347-3003
Entity
Organization
Contact information
Practice address
1010 BALLPARK RD, STURGIS, SD 57785-2364
(605) 347-3003
(605) 347-4944
Mailing address
1807 WILLIAMS ST, PO BOX 277, STURGIS, SD 57785-1142
(605) 347-3003
(605) 347-4944
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
50003110
—
SD
05
—
50003112
—
SD
Enumeration date
02/07/2007
Last updated
04/18/2017
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