NPI | 1194756833 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN P MANLOVE Owner/CEO 605-348-8000 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
Additional Taxonomies | 174400000X Specialist (Licence: SD 1887) |
174400000X Specialist (Licence: SD 0244) | |
174400000X Specialist (Licence: SD 0368) | |
Enumeration Date | 2006-07-05 |
Last Update Date | 2020-10-29 |