NPI | 1407509193 |
---|---|
Entity Type | Organization |
Authorized Contact | ZACHARY SEEFELDT Co Owner 605-201-7401 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-02-02 |
Last Update Date | 2024-04-29 |