| NPI | 1649578295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA BOLTON Owner 605-484-1632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPCMH2095) |
| Enumeration Date | 2011-03-07 |
| Last Update Date | 2011-03-07 |