| NPI | 1679598320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES J LORD Psychiatrist 605-348-6365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: SD SD 2247) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: TX E2684) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2020-08-22 |