Anpetu Luta Otipi
NPI #1902057631 in Kyle, South Dakota
Provider Information
- NPI Number
- 1902057631
- Entity Type
- Organization
- Organization Name
- Anpetu Luta Otipi
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- OGLALA SIOUX TRIBE
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Sep 30, 2008
- Last Updated
- Sep 30, 2008
Practice Location
- Address
- BIA HWY 39 NO FLESH ROAD
- Address 2
- BOX 275
- City
- Kyle
- State
- South Dakota
- ZIP Code
- 57752-0275
- Phone
- (605) 455-2331
Authorized Official
- Name
- MS. TERRYL M BLUE-WHITE EYES
- Title
- DIRECTOR
- Phone
- (605) 455-2331
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility |
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