NPI | 1114793080 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE ELIZABETH NOVAK Clinical Therapist/Owner 605-215-5713 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-11-30 |
Last Update Date | 2024-03-27 |