| NPI | 1700172756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY MILLER Owner 605-370-1394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NY 252497) |
| Enumeration Date | 2011-06-28 |
| Last Update Date | 2011-06-28 |