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Organization

MCCROSSAN BOYS RANCH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DARLA K KRUEGER (BUSINESS MANAGER)
(605) 339-1203
Entity
Organization

Contact information

Practice address
47135 260TH ST, SIOUX FALLS, SD 57107-6428
(605) 339-1203
(605) 339-3144
Mailing address
47135 260TH ST, SIOUX FALLS, SD 57107-6428
(605) 339-1203
(605) 339-3144

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
97333
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
5160010
SD
Enumeration date
03/09/2007
Last updated
08/22/2020
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