| NPI | 1396805222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLI MINER President 605-484-9759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0400X Clinic/Center Rehabilitation (Licence: SD 0597) |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2020-08-22 |