| NPI | 1073089488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHRISTENSEN Regional Executive Director 605-340-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2026-02-04 |