Organization
STATE OF SOUTH DAKOTA
Active
Other names
SD Human Services Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID GEISE (BUSINESS MANAGER)
(605) 668-3148
Entity
Organization
Contact information
Practice address
3515 BROADWAY AVE, YANKTON, SD 57078-7600
(605) 668-3148
(605) 668-5407
Mailing address
PO BOX 7600, YANKTON, SD 57078-7600
(605) 668-3148
(605) 668-5407
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
10577
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0240070
—
SD
Enumeration date
07/19/2005
Last updated
04/24/2009
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