| NPI | 1346064904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW WOLTHUIZEN Mental Health Provider/Owner 605-663-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-11 |