NPI | 1972506939 |
---|---|
Entity Type | Organization |
Authorized Contact | FREDERICK L HARRIS CEO 605-334-2266 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center Medical Specialty (Licence: SD 40865) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2007-10-04 |