| NPI | 1104032044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANDRA BAKER President 605-373-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SD LPC-MH2142) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2020-08-22 |