| NPI | 1073868758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM A BARICKMAN Owner 605-391-3482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: SD 10249596UT) |
| Enumeration Date | 2012-07-18 |
| Last Update Date | 2016-11-01 |