| NPI | 1578922001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA RENEE PRICE Owner 605-890-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: NE 4597) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2024-08-01 |