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Organization

INNER-MOUNTAIN FAMILY RESOURCES, INC.

Active
Other names
Addiction Family Reources
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHARLES DAVID WALLIN EDD, MSW (PRESIDENT CEO)
(605) 645-2598
Entity
Organization

Contact information

Practice address
608 5TH AVE, BELLE FOURCHE, SD 57717-1214
(605) 892-3039
(605) 892-3158
Mailing address
23812 COUNTY ROAD 30.5, LA JUNTA, CO 81050-9280
(645) 645-2598
(719) 384-7092

Taxonomy

Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
410411
SD

Other

Enumeration date
03/18/2007
Last updated
08/22/2020
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