| NPI | 1063151629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINTON SPERLE Therapist 605-271-7117 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2022-06-01 |
| Last Update Date | 2022-06-01 |