Organization
BLACK HILLS CENTER FOR HEALING AND ADVANCEMENT OF PSYCHOTHERAPY PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH OSTOLOZAGA LCSW-PIP (OWNER)
(605) 440-2287
Entity
Organization
Contact information
Practice address
2525 W MAIN ST STE 303A6, RAPID CITY, SD 57702-2437
(605) 440-2287
(605) 791-2086
Mailing address
2525 W MAIN ST STE 303A6, RAPID CITY, SD 57702-2437
(605) 440-2287
(605) 791-2086
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2013208
—
SD
Enumeration date
01/31/2019
Last updated
01/31/2019
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