| NPI | 1548203730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS MATTHEW BOSWORTH President 605-343-7755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: SD 1590) |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2015-04-23 |