Organization
LAKOTA TIWAHE CENTER
Active
Parent organization
ROSEBUD SIOUX TRIBE EDUCATION DEPARTMENT
Other names
Rosebud Developmental Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
ROSEBUD SIOUX TRIBE EDUCATION DEPARTMENT
Authorized official
MS. CINDY YOUNG (DIRECTOR)
(605) 747-2833
Entity
Organization
Contact information
Practice address
40 HOSPITAL ROAD, LAKOTA TIWAHE CENTER, ROSEBUD, SD 57570-0040
(605) 747-2833
(605) 747-5479
Mailing address
PO BOX 40, 141 HOSPITAL ROAD-LAKOTA TIWAHE CENTER, ROSEBUD, SD 57570-0040
(605) 747-2833
(605) 747-5479
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5607940
—
SD
Enumeration date
09/01/2010
Last updated
09/01/2010
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