| NPI | 1427009034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN M CARLEY Administrator 605-336-2638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: SD 47078) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2010-04-29 |