| NPI | 1710699442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EFCEL AARON VELEZ Member/Organizer 605-415-5311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-12-13 |
| Last Update Date | 2022-12-13 |