Organization
ANPETU LUTA OTIPI
Active
Organization
ANPETU LUTA OTIPI
Active
Parent organization
OGLALA SIOUX TRIBE
Organization subpart
Yes
Provider details
NPI number
Legal business name
OGLALA SIOUX TRIBE
Authorized official
MS. TERRYL M BLUE-WHITE EYES (DIRECTOR)
(605) 455-2331
Entity
Organization
Contact information
Practice address
BIA HWY 39 NO FLESH ROAD, BOX 275, KYLE, SD 57752-0275
(605) 455-2331
(605) 455-1046
Mailing address
PO BOX 275, KYLE, SD 57752-0275
(605) 455-2331
(605) 455-1046
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
460248724
SD
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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