Whalio Doctors

NPI 1083738876

Inner-Mountain Family Resources, INC.

Organisation Substance Abuse Rehabilitation Facility Belle Fourche, SD

Practice location

Address
608 5th Ave, Belle Fourche, SD 57717-1214
Phone
(605) 892-3039
Fax
(605) 892-3158
Mailing address
23812 County Road 30.5, La Junta, CO 81050-9280

Authorised official

Name
Charles David Wallin
Title
President Ceo
Phone
(605) 645-2598

Registered specialties

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X Licence 410411 (SD)

Registry record

NPI
1083738876
Entity type
Organization
NPI issued
18 Mar 2007
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.