| NPI | 1770534612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD L JACOBSON Chief Executive Officer 605-622-5125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273Y00000X Rehabilitation Unit (Licence: SD 10525) |
| Enumeration Date | 2006-05-15 |
| Last Update Date | 2020-08-22 |