Organization
LOWER BRULE SIOUX TRIBE
Active
Parent organization
LOWER BRULE SIOUX TRIBE
Other names
Lower Brule Counseling Service
Organization subpart
Yes
Provider details
NPI number
Legal business name
LOWER BRULE SIOUX TRIBE
Authorized official
MR. GREG MILLER (DIRECTOR)
(605) 473-8000
Entity
Organization
Contact information
Practice address
187 OYATE CIR, LOWER BRULE, SD 57548-8500
(605) 473-8000
Mailing address
187 OYATE CIR, LOWER BRULE, SD 57548-8500
(605) 473-8000
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5549110
—
SD
Enumeration date
10/05/2007
Last updated
10/05/2007
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