| NPI | 1730854043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ZOE CHARGEONHIM Business Office Manager 605-343-7832 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Enumeration Date | 2021-08-10 |
| Last Update Date | 2021-08-10 |