Organization
RAPID CITY CLUB FOR BOYS, INC.
Active
Other names
Club For Boys
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS HERRMANN (EXECUTIVE DIRECTOR)
(605) 343-3500
Entity
Organization
Contact information
Practice address
320 N. 4TH ST., RAPID CITY, SD 57701
(605) 343-3500
(605) 343-3501
Mailing address
320 N. 4TH ST., RAPID CITY, SD 57701
(605) 343-3500
(605) 343-3501
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
03/13/2023
Last updated
03/13/2023
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