Organization
THE GLORY HOUSE OF SIOUX FALLS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID R JOHNSON LPC (EXECUTIVE DIRECTOR)
(605) 988-9102
Entity
Organization
Contact information
Practice address
4000 S WEST AVE, SIOUX FALLS, SD 57105-6601
(605) 332-3273
(605) 332-6410
Mailing address
PO BOX 88145, SIOUX FALLS, SD 57109-8145
(605) 332-3273
(605) 332-6410
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
SD
Other
Enumeration date
03/08/2007
Last updated
08/22/2020
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