| NPI | 1578017612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE L WYLIE Speech Language Pathologist 605-941-3143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: SD 497-SLP) |
| Enumeration Date | 2016-08-05 |
| Last Update Date | 2016-08-05 |