| NPI | 1457191942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESIKA L FLOYD President 605-723-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-05-31 |