| NPI | 1053119446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMANUEL NWALA Licensed Professional Clinical Coun 605-350-5232 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2025-03-03 |
| Last Update Date | 2025-03-03 |