| NPI | 1699346924 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE HENDRICKS Nurse Practitioner 605-237-3717 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-12-01 |