NPI | 1770848251 |
---|---|
Entity Type | Organization |
Authorized Contact | HEATHER JEAN HEYNEN Owner 605-348-0905 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH2133) |
Enumeration Date | 2012-07-10 |
Last Update Date | 2012-07-10 |