Organization Name: | BADLANDS HUMAN SERVICE CENTER |
NPI Number: | 1124072525 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SANDY THOMPSON (REGIONAL DIRECTOR) |
Mailing Address: | 300 13th Ave W Ste 1 Dickinson |
State: | ND US |
Postal Code: | 586014875 |
Phone Number: | 7012277500 |
Fax Number: | 7012277575 |
NPI Enumeration Date: | 05/20/2006 |
NPI Last Update Date: | 07/18/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0850X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Mental Health |
Taxonomy Definition: | An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |