Organization
LUTHERAN SOCIAL SERVICES OF SD
Active
Parent organization
LUTHERAN SOCIAL SERVICES OF SD
Other names
Canyon Hills Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
LUTHERAN SOCIAL SERVICES OF SD
Authorized official
STEVE ANDERSON (VICE PRESIDENT, SUPPORT SERVICES)
(605) 357-0108
Entity
Organization
Contact information
Practice address
2519 WINDMILL DR, SPEARFISH, SD 57783-9588
(605) 642-7188
(605) 642-3720
Mailing address
705 E 41ST ST STE 200, SIOUX FALLS, SD 57105-6048
(605) 357-0100
(605) 357-0140
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
R100
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5169070
—
SD
05
—
55517
—
ND
Enumeration date
01/18/2008
Last updated
06/18/2008
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