| NPI | 1700581782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA JEAN REED Licensed Psychologist 605-413-8804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-31 |
| Last Update Date | 2023-12-19 |