| NPI | 1457740003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL ANN DONELAN Mental Health Therapist 605-480-3683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SD LPCMH2241) |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-22 |