| NPI | 1457720476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA LYNNE HAEFNER Founder, CEO, & Therapist 605-845-2058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: SD LPCMH2303) |
| Additional Taxonomies | 251S00000X (Licence: ND 695-8-1-11-245) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2017-05-03 |