| NPI | 1740548692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA VIK Program Director/Child Psychiatry 605-322-5737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Enumeration Date | 2012-04-30 |
| Last Update Date | 2012-04-30 |