NPI | 1598169518 |
---|---|
Entity Type | Organization |
Authorized Contact | LARRY PORTER Owner 605-929-1060 |
Organization Subpart ? | No |
Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: SD LMFT1176) |
Enumeration Date | 2014-10-20 |
Last Update Date | 2014-10-20 |