Provider Demographics
NPI:1649311713
Name:ROADS OUTPATIENT TREATMENT
Entity type:Organization
Organization Name:ROADS OUTPATIENT TREATMENT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PETER
Authorized Official - Middle Name:M
Authorized Official - Last Name:SWEITZER
Authorized Official - Suffix:
Authorized Official - Credentials:M ED LPC, CCDCLLL
Authorized Official - Phone:605-348-8026
Mailing Address - Street 1:520 KANSAS CITY STREET
Mailing Address - Street 2:SUITE 210
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57701
Mailing Address - Country:US
Mailing Address - Phone:605-348-8026
Mailing Address - Fax:605-388-8902
Practice Address - Street 1:520 KANSAS CITY ST
Practice Address - Street 2:SUITE 210
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57701-5005
Practice Address - Country:US
Practice Address - Phone:605-348-8026
Practice Address - Fax:605-388-8902
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-09
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management