| NPI | 1497499099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA JOY EBEN Licensed Clinic Social Worker 605-351-8692 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-04-21 |