| NPI | 1760933261 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP BEHAVIORAL HEALTH CLINIC |
| Entity Type | Organization |
| Authorized Contact | DAVID FLICEK CEO/President 605-322-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2018-10-24 |