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