| Rapid City Mental Health Prof. Llc | |
|
3939 Canyon Lake Dr Ste A Rapid City SD 57702-0827 | |
| (605) 716-3555 | |
| (605) 413-1143 |
| Full Name | Rapid City Mental Health Prof. Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Addiction Psychiatry |
| Location | 3939 Canyon Lake Dr Ste A, Rapid City, South Dakota |
| Authorized Official Name and Position | Jennifer A Erdman (OWNER) |
| Authorized Official Contact | 6057163555 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rapid City Mental Health Prof. Llc 3939 Canyon Lake Dr Ste A Rapid City SD 57702-0827 Ph: (605) 716-3555 | Rapid City Mental Health Prof. Llc 3939 Canyon Lake Dr Ste A Rapid City SD 57702-0827 Ph: (605) 716-3555 |
| NPI Number | 1982251252 |
|---|---|
| Provider Enumeration Date | 08/21/2019 |
| Last Update Date | 08/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982251252 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0802X | Psychiatry & Neurology - Addiction Psychiatry | (* (Not Available)) | Primary |
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