| NPI | 1376015123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD SCOTT WILEY Counselor/Owner 605-484-7089 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X (Licence: SD 7059) |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2018-12-18 |
| Last Update Date | 2019-06-20 |