Organization
ROCK CREEK GRANT SCHOOL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CLYDE CALVIN NAASZ SPECIALIST (SCHOOL PRINCIPAL/SUPT)
(605) 823-4971
Entity
Organization
Contact information
Practice address
1 INDIAN SCHOOL DRIVE, BOX 227, BULLHEAD, SD 57621-0227
(605) 823-4971
(605) 823-4350
Mailing address
PO BOX 227, BULLHEAD, SD 57642-0227
(605) 823-4971
(605) 823-4350
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
—
—
103TS0200X
School Psychologist
—
—
1041S0200X
School Social Worker
—
—
225100000X
Physical Therapist
—
—
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
—
347C00000X
Private Vehicle
Primary
—
—
Other
Enumeration date
01/14/2013
Last updated
01/14/2013
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