| NPI | 1073781332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT ANTHONY JOHNSON Doctor / CEO 605-882-0100 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: SD 845) |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2011-10-06 |