NPI | 1902525983 |
---|---|
Doing Business As | AVERA COMMUNITY HEALTH RESOURCE PROGRAM |
Entity Type | Organization |
Authorized Contact | DAVID WILLIAM FLICEK President/CEO 605-322-7915 |
Organization Subpart ? | No |
Primary Taxonomy | 172V00000X Community Health Worker |
Enumeration Date | 2022-08-24 |
Last Update Date | 2022-08-24 |