NPI | 1528625233 |
---|---|
Entity Type | Organization |
Authorized Contact | LEAH PIERSOL Owner/Manager 605-212-3638 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-05-29 |
Last Update Date | 2024-01-19 |