NPI | 1851729552 |
---|---|
Former Legal Business Name | MIDWEST WELLNESS INSTITUTE LLC |
Entity Type | Organization |
Authorized Contact | KYLE KORVER CEO, Midwest Wellness Institute 605-573-2000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: SD 7035) |
Enumeration Date | 2013-10-16 |
Last Update Date | 2021-06-07 |