| NPI | 1902130818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL FRANKEN Executive Director 605-367-8761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2009-09-24 |
| Last Update Date | 2013-01-11 |