| NPI | 1063758456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI LYNN KUSSART Speech Language Pathologist 605-390-0833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: SD 09142861) |
| Enumeration Date | 2012-12-12 |
| Last Update Date | 2012-12-12 |