| 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 |