| Organization Name: | ABBOTT HOUSE, INC. |
| NPI Number: | 1053526673 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KIMBERLY MOORE (BUSINESS MGR) |
| Mailing Address: | 909 Court Merrill St Mitchell |
| State: | SD US |
| Postal Code: | 573014362 |
| Phone Number: | 6059962486 |
| Fax Number: | 6059964585 |
| NPI Enumeration Date: | 05/14/2007 |
| NPI Last Update Date: | 04/21/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |