NPI | 1629720859 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA RAE KAISER Owner 605-271-3577 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-01-19 |
Last Update Date | 2022-02-05 |