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ROCK CREEK GRANT SCHOOL

Behavioral Health & Social Service Providers Counselor School

Provider NPI: 1396082129

Organization Information:
Organization Name:  ROCK CREEK GRANT SCHOOL
Organization is not Subpart
Authorized Official:  CLYDE CALVIN NAASZ  SCHOOL PRINCIPAL/SUPT  605-823-4971

Practice Location:
1 INDIAN SCHOOL DRIVE BOX 227 BULLHEAD, SD 57621-0227 US
Tel: 605-823-4971  Fax: 605-823-4350

Business Mailing Address:
PO BOX 227  BULLHEAD, SD 57642-0227 US
Tel: 605-823-4971  Fax: 605-823-4350

NPI Information:
NPI: 1396082129
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YS0200XBehavioral Health & Social Service Providers
Counselor
School
N103TS0200XBehavioral Health & Social Service Providers
Psychologist
N1041S0200XBehavioral Health & Social Service Providers
Social Worker
N225100000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapist
N225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
N2355S0801XSpeech, Language and Hearing Service Providers
Specialist/Technologist
N235Z00000XSpeech, Language and Hearing Service Providers
Speech-Language Pathologist
Y347C00000XTransportation Services
Private Vehicle

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 347C00000X

Type:

Classification:



Definition:



MEDICAL JOBS SD - Page 1

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