| NPI | 1407403777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELESTE MICHELE UTHE-BUROW Owner & Provider 605-201-0104 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2019-08-21 |
| Last Update Date | 2019-08-21 |