Organization
NATIVE HEALING PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STANLEY LAROQUE (DIRECTOR)
(605) 342-8925
Entity
Organization
Contact information
Practice address
1600 MOUNTAIN VIEW RD, #102, RAPID CITY, SD 57702
(605) 342-8925
(605) 342-6681
Mailing address
3200 CANYON LAKE DRIVE, RAPID CITY, SD 57702
(605) 342-8925
(605) 342-6681
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/15/2011
Last updated
08/02/2018
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