NPI | 1720493075 |
---|---|
Entity Type | Organization |
Authorized Contact | SUSAN MILLER CFO 605-598-6262 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health (Licence: SD 10539) |
Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: SD 10539) |
Enumeration Date | 2014-06-25 |
Last Update Date | 2014-06-25 |