| NPI | 1225173511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY EILEEN GARCIA Finance Manager 605-988-3775 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SD 2151) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2011-11-02 |