| NPI | 1699402917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLLEEN LORRAINE CAMPBELL-LANE Bhs Executive Officer 605-216-9317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-08-05 |
| Last Update Date | 2022-08-10 |