| NPI | 1609769033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LYNN PIPITONE Psychiatric Nurse Practitioner 605-215-0625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2025-06-03 |
| Last Update Date | 2025-06-03 |