NPI 1083738876
Inner-Mountain Family Resources, INC.
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
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.