| NPI | 1184016040 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA KUCH Owner 605-225-3622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH2194) |
| Enumeration Date | 2015-03-02 |
| Last Update Date | 2015-03-02 |