NPI | 1386062156 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA JO FROMM President/CEO 605-721-5550 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: SD 8292) |
Enumeration Date | 2014-03-31 |
Last Update Date | 2015-03-09 |