| NPI | 1487001194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA VOS LUEKING Therapist 605-759-0267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: SD LPCMH2261) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: SD 12031504) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |