| NPI | 1053722926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN NIELSEN OGDAHL Owner 605-271-1348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 3311) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 10031433) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |