| NPI | 1235416264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY EILEEN GARCIA Finance Manager 605-988-3775 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 00604) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2011-11-04 |