| NPI | 1689193344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH CLAYBORNE-MOELLER Owner/Counselor 605-212-6315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH20198) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: SD 13031560) |
| Enumeration Date | 2017-09-13 |
| Last Update Date | 2017-09-13 |