| Root And Bloom Llc | |
|
630 Saint Joseph St Rapid City SD 57701 | |
| (605) 517-2005 | |
| Not Available |
| Full Name | Root And Bloom Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 630 Saint Joseph St, Rapid City, South Dakota |
| Authorized Official Name and Position | Sarah Stout (ADMIN) |
| Authorized Official Contact | 6058584524 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Root And Bloom Llc Po Box 233 Hill City SD 57745-0233 Ph: (605) 858-4524 | Root And Bloom Llc 630 Saint Joseph St Rapid City SD 57701 Ph: (605) 517-2005 |
| NPI Number | 1326829987 |
|---|---|
| Provider Enumeration Date | 10/10/2023 |
| Last Update Date | 10/10/2023 |
| Certification Date | 10/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326829987 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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