Organization
SINTE GLESKA UNIVERSITY
Active
Parent organization
SINTE GLESKA UNIVERSITY
Other names
Tiwahe Glu Kini Pi
Organization subpart
Yes
Provider details
NPI number
Legal business name
SINTE GLESKA UNIVERSITY
Authorized official
NIKITA R BLACK BEAR BA-HUMAN SERVICES (BILLING CLERK)
(605) 856-8291
Entity
Organization
Contact information
Practice address
ANTELOPE LAKE DRIVE, MISSION, SD 57555
(605) 856-8291
(605) 856-2132
Mailing address
PO BOX 105, ANTELOPE LAKE CAMPUS, MISSION, SD 57555
(605) 856-8291
(605) 856-2132
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46-0312209
CHILDRENS MENTAL HEALTH PROGRAM
—
Enumeration date
05/22/2019
Last updated
05/22/2019
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