Organization
FAMILY SERVICES CENTER
Active
Organization
FAMILY SERVICES CENTER
Active
Other names
YouthWise
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DOMINIQUE JOY TIGERT (EXECUTIVE DIRECTOR)
(605) 641-3621
Entity
Organization
Contact information
Practice address
1725 N MAIN ST, SPEARFISH, SD 57783-1223
(605) 641-3621
Mailing address
PO BOX 73, SPEARFISH, SD 57783-0073
(605) 717-1212
Taxonomy
Speciality
Code
Description
License number
State
252Y00000X
Early Intervention Provider Agency
Primary
—
—
Other
Enumeration date
01/19/2011
Last updated
01/19/2011
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