NORTHERN STATE UNIVERSITY NPI 1053627984

NPI Information

NORTHERN STATE UNIVERSITY is an addiction (substance use disorder) counselor in Aberdeen, SD. NORTHERN STATE UNIVERSITY NPI is 1053627984. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1200 S JAY ST
ABERDEEN, SD
ZIP 57401-155
Phone: (605) 626-2566

The provider's authorized official is Don Erlenbusch .
The authorized official title is V.p Of Finance & Administration and has the following contact phone number (605) 626-2566.

The CLIA number assigned to this NPI record is 43D2198705 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/30/2010 and was last updated on 8/30/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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