| NPI | 1366186256 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEE M LARSON Owner 605-354-7252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2022-04-26 |
| Last Update Date | 2022-04-26 |