| NPI | 1124716147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS GONZALEZ Licensed Mental Health Counselor 605-646-3738 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-04-27 |