Organization
CHILDRENS HOME SOCIETY OF SOUTH DAKOTA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BILL COLSON (EXECUTIVE OFFICER)
(605) 334-6004
Entity
Organization
Contact information
Practice address
801 N SYCAMORE AVE, SIOUX FALLS, SD 57110-5746
(605) 334-6004
(605) 335-2776
Mailing address
PO BOX 1749, SIOUX FALLS, SD 57101-1749
(605) 334-6004
(605) 335-2776
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
R51
SD
323P00000X
Psychiatric Residential Treatment Facility
R45
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
117063500
—
SD
05
—
5169010
—
SD
05
—
5169020
—
SD
05
—
5169030
—
SD
Enumeration date
03/30/2007
Last updated
04/06/2016
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