| NPI | 1184151946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES SIMPSON Provider 605-484-5294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH2002) |
| Enumeration Date | 2017-05-11 |
| Last Update Date | 2017-05-11 |