| NPI | 1750689261 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA KAY REYES Hud Vash Social Worker 605-336-3230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: SD 2413) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2011-03-08 |