| 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 |