NPI | 1962816298 |
---|---|
Entity Type | Organization |
Authorized Contact | JUSTIN RAE CASEY Owner 605-877-2550 |
Organization Subpart ? | No |
Primary Taxonomy | 252Y00000X Early Intervention Provider Agency (Licence: SD 0628) |
Enumeration Date | 2014-06-14 |
Last Update Date | 2014-06-14 |