| NPI | 1235476466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLIE MARIE VAUGHAN Chemical Dependency/Mental Health C 605-310-0032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SD LPC-7243) |
| Enumeration Date | 2013-01-08 |
| Last Update Date | 2013-01-08 |