| NPI | 1588022206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE JILL MOORE Mental Health Therapist 605-651-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2024-07-30 |