| NPI | 1639613912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLY DALE MESSNER Occupational Therapist 605-718-1181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: SD 0857) |
| Additional Taxonomies | 251E00000X Home Health (Licence: SD 0857) |
| 261Q00000X Clinic/Center (Licence: SD 0857) | |
| Enumeration Date | 2016-12-06 |
| Last Update Date | 2016-12-06 |