Organization
TREC BADLANDS PRENATAL TO FIVE HEAD START
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS JACOBSON MSW,MBA (EXECUTIVE DIRECTOR)
(605) 723-8837
Entity
Organization
Contact information
Practice address
101 5TH AVE, BELLE FOURCHE, SD 57717-1139
(605) 723-8837
(605) 723-8834
Mailing address
101 5TH AVE, BELLE FOURCHE, SD 57717-1139
(605) 723-8837
(605) 723-8834
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
SD
Other
Enumeration date
01/05/2011
Last updated
07/21/2022
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