Organization
ROOT AND BLOOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH STOUT (ADMIN)
(605) 858-4524
Entity
Organization
Contact information
Practice address
630 SAINT JOSEPH ST, RAPID CITY, SD 57701
(605) 517-2005
Mailing address
PO BOX 233, HILL CITY, SD 57745-0233
(605) 858-4524
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/10/2023
Last updated
10/10/2023
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