| NPI | 1689165383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNA M ROTH Mental Health Counselor 605-430-7149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: SD LPC-MH2150) |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |