NPI | 1578891032 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA GAPP Counselor 605-677-9052 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: SD LPC 1037) |
Additional Taxonomies | 251S00000X (Licence: SD CCDC-III 04011175) |
Enumeration Date | 2009-11-20 |
Last Update Date | 2009-11-20 |