| NPI | 1285140038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSIE JOSEPHINE PROMES Owner 605-689-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: SD CP001160) |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |