Psychiatric Services, Llc | |
306 4th St Suite G Brookings SD 57006-1948 | |
(605) 697-5352 | |
(605) 610-1561 |
Full Name | Psychiatric Services, Llc |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 306 4th St, Brookings, South Dakota |
Authorized Official Name and Position | Brenda L Johnson (OWNER) |
Authorized Official Contact | 6056975352 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Psychiatric Services, Llc 306 4th St Suite G Brookings SD 57006-1948 Ph: (605) 697-5352 | Psychiatric Services, Llc 306 4th St Suite G Brookings SD 57006-1948 Ph: (605) 697-5352 |
NPI Number | 1497016562 |
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Provider Enumeration Date | 06/05/2012 |
Last Update Date | 06/05/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1497016562 | NPI | - | NPPES |
20110813516668 | Medicaid | SD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | CP000650 (South Dakota) | Primary |
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