Organization
LEWIS & CLARK MENTAL HEALTH CENTER
Active
Other names
Lewis & Clark Behavioral Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
GLEN MECHTENBERG (BUSINESS MANAGER)
(605) 665-4606
Entity
Organization
Contact information
Practice address
1028 WALNUT ST, YANKTON, SD 57078-2910
(605) 665-4606
Mailing address
1028 WALNUT ST, YANKTON, SD 57078-2910
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5200050
—
SD
Enumeration date
05/10/2012
Last updated
05/10/2012
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