Inner-Mountain Family Resources, Inc.
Organization Active NPI Substance Abuse Rehabilitation Facility · Belle Fourche, SD
NPI 1083738876 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1083738876
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- 410411 (SD)
- Legal business name
- INNER-MOUNTAIN FAMILY RESOURCES, INC.
- Practice address
- 608 5TH Ave
Belle Fourche, SD 57717-1214 - Phone
- (605) 892-3039
- Fax
- (605) 892-3158
- NPI assigned
- Mar 18, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Charles David Wallin, EDD, MSW
- Title
- President Ceo
- Phone
- (605) 645-2598
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | 410411 | SD | Yes |
Addresses
Primary practice location
608 5TH Ave
Belle Fourche, SD 57717-1214
Mailing address
23812 County Road 30.5
La Junta, CO 81050-9280
Phone (645) 645-2598
Other names
- Addiction Family Reources
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All providers in Belle Fourche, SD · Substance Abuse Rehabilitation Facility in South Dakota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.