| NPI | 1154064269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI LYNN ALLEN Office Manager 605-877-0965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-04-16 |
| Last Update Date | 2023-05-23 |