| NPI | 1417680125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRISHA KARSTEN GAUDIG Psychologist 605-215-1108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist Clinical |
| 103TC1900X Psychologist Counseling | |
| 251S00000X Community/Behavioral Health | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2022-07-08 |
| Last Update Date | 2023-12-25 |