| NPI | 1255427969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ROBERT LAFLEUR Addiction Therapist 605-718-1095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: SD 2513000000X) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |