| NPI | 1760123921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAILEE JAE WHEMPNER Speech Language Pathologist 605-868-0406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2022-04-03 |
| Last Update Date | 2022-07-18 |