| NPI | 1871592030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEB PEDERSON Director Of Nursing 605-226-9706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 284300000X Special Hospital (Licence: SD 10584) |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2013-06-19 |