| NPI | 1356486534 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY EILEEN GARCIA Finance Manager 605-988-3775 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD 2057) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: SD 2040) |
| 106H00000X Marriage & Family Therapist (Licence: SD 1065) | |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2011-11-04 |