| NPI | 1124383435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACKIE R GILBERTSON Psychologistlicensed 605-430-6364 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SD 276) |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |