| NPI | 1922153675 |
|---|---|
| Doing Business As | SOUTHEAST 1 FAMILY SUPPORT PROGRAM |
| Entity Type | Organization |
| Authorized Contact | LINDA M PAULSON Business Manager 605-624-4419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2013-05-23 |