| NPI | 1629227202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MISTY RAE HUNTER Clinical Nurse 605-455-8211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: SD SD-RN R033080) |
| Enumeration Date | 2008-09-18 |
| Last Update Date | 2008-09-18 |