| NPI | 1124889381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN ROWE ROWE Nurse Practitioner 605-702-6769 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-01-16 |
| Last Update Date | 2024-05-14 |