| NPI | 1457972580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARLA KIRKPATRICK Business Office Manager 605-224-8841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2020-04-29 |
| Last Update Date | 2020-04-29 |