Organization
WELLSPRING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAY ALAN VAN HUNNIK MA (EXECUTIVE DIRECTOR)
(605) 718-4870
Entity
Organization
Contact information
Practice address
1205 E SAINT JAMES ST, RAPID CITY, SD 57701-3958
(605) 342-0345
(605) 718-4878
Mailing address
PO BOX 1087, RAPID CITY, SD 57709-1087
(605) 718-4870
(605) 718-4878
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
SD
Other
Enumeration date
07/09/2012
Last updated
07/09/2012
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