| NPI | 1104539527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERE JEAN WALTON Operator/Owner 605-353-5008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-12-30 |
| Last Update Date | 2022-12-30 |