Organization
DAKOTAH PRIDE CENTER SISSETON WAHPETON OYATE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RICHARD FRANCIS BIRD MS, CCDC III (PROGRAM DIRECTOR)
(605) 698-3917
Entity
Organization
Contact information
Practice address
388 DAKOTA AVE, SISSETON, SD 57262-3327
(605) 698-3917
(605) 698-4449
Mailing address
388 DAKOTA AVE, SISSETON, SD 57262-3327
(605) 698-3917
(605) 698-4449
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
42828
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5000230
—
SD
05
—
9515282
—
SD
Enumeration date
02/16/2007
Last updated
08/22/2020
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