| NPI | 1407163207 |
|---|---|
| Former Legal Business Name | ROSEBUD DEVELOPMENTAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CINDY YOUNG Director 605-747-2833 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |