| Isaacs Behavioral Health, Llc | |
|
2650 Jackson Blvd Rapid City SD 57702-3474 | |
| (605) 877-2010 | |
| Not Available |
| Full Name | Isaacs Behavioral Health, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2650 Jackson Blvd, Rapid City, South Dakota |
| Authorized Official Name and Position | Nicholas Isaacs (CLINICAL SOCIAL WORKER-PIP) |
| Authorized Official Contact | 6058772010 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Isaacs Behavioral Health, Llc 11344 Us Highway 212 Belle Fourche SD 57717-6106 Ph: (605) 877-2010 | Isaacs Behavioral Health, Llc 2650 Jackson Blvd Rapid City SD 57702-3474 Ph: (605) 877-2010 |
| NPI Number | 1003458993 |
|---|---|
| Provider Enumeration Date | 10/11/2019 |
| Last Update Date | 10/11/2019 |
| Medicare PECOS PAC ID | 4789017286 |
|---|---|
| Medicare Enrollment ID | O20191212003065 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003458993 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Nicholas Isaacs |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124447982 PECOS PAC ID: 5698108199 Enrollment ID: I20191212003084 |
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