Organization
SHORES CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ROBYN SHORES FOSTER CSW-PIP (OWNER)
(609) 558-7834
Entity
Organization
Contact information
Practice address
5000 S MAC ARTHUR LN STE 104, SIOUX FALLS, SD 57108-5407
(605) 206-7373
Mailing address
909 S WESTMOOR DR, SIOUX FALLS, SD 57104-4420
(609) 558-7834
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
12/07/2021
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