State of South Dakota

NPI #1124027586 in Yankton, South Dakota

Provider Information

NPI Number
1124027586
Entity Type
Organization
Organization Name
State of South Dakota
Primary Specialty
Psychiatric Hospital
Enumeration Date
Jul 19, 2005
Last Updated
Apr 24, 2009

Practice Location

Address
3515 BROADWAY AVE
ZIP Code
57078-7600
Phone
(605) 668-3148

Authorized Official

Name
MR. DAVID GEISE
Title
BUSINESS MANAGER
Phone
(605) 668-3148

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital

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