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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