| NPI | 1407678808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHAEL FRICKE Owner 605-988-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| 261QM0850X Clinic/Center Adult Mental Health | |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2025-01-31 |