| NPI | 1912201815 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE LEA MENKE Speech Language Pathologist 605-261-8456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |