| NPI | 1417521543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM JOHN WOLTHUIZEN Mental Health Counselor 605-663-4600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-05-13 |
| Last Update Date | 2022-06-13 |