NPI | 1700581782 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA JEAN REED Licensed Psychologist 605-366-1228 |
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 | 2024-09-14 |