| NPI | 1174890164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA L JOHNSON Owner 605-529-5240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: SD CP000650) |
| Enumeration Date | 2011-11-19 |
| Last Update Date | 2012-05-30 |