| NPI | 1568223840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LACEE LEE FELTMAN Pmhnp Bc 605-659-5262 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |