Provider First Line Business Practice Location Address:
WEST RIVER MENTAL HEALTH - MAINSTREAM
Provider Second Line Business Practice Location Address:
111 NORTH STREET
Provider Business Practice Location Address City Name:
RAPID CITY
Provider Business Practice Location Address State Name:
SD
Provider Business Practice Location Address Postal Code:
57701-5770
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
605-343-0650
Provider Business Practice Location Address Fax Number:
605-342-3692
Provider Enumeration Date:
05/15/2025