| NPI | 1669963609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA UCKERT Owner 605-592-5300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SD LPC-MH20334) |
| Enumeration Date | 2018-05-25 |
| Last Update Date | 2018-05-25 |