| NPI | 1306624721 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | A ULMER Owner 605-520-5485 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |