| NPI | 1447842810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANITA RUTH HARTL Clinical Social Worker 605-786-6759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |