| NPI | 1013283670 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK WILLIAM PERRENOUD President 605-348-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: SD 316) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-03-28 |