| NPI | 1952488371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EDMUND BELYEA President 605-352-6040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service (Licence: SD 0299) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2008-01-18 |