NPI | 1114246576 |
---|---|
Other Name | AVERA MCKENNAN OUTPATIENT THERAPY MCGREEVY MAIN |
Entity Type | Organization |
Authorized Contact | JULIE N NORTON VP/CFO 605-322-6375 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: SD 10563) |
Enumeration Date | 2010-05-25 |
Last Update Date | 2010-07-20 |