Provider First Line Business Practice Location Address:
904 W 23RD ST SUITE; 101
Provider Second Line Business Practice Location Address:
HEARTLAND PWYCHOLOGICAL SERVICES
Provider Business Practice Location Address City Name:
YANKTON
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57078-1206
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-665-0841
Provider Business Practice Location Address Fax Number:
605-665-0096
Provider Enumeration Date:
10/21/2008