| NPI | 1407137839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD R ONEY Member 605-545-4617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD SD LPCMH2020) |
| Enumeration Date | 2011-08-30 |
| Last Update Date | 2011-08-30 |