| NPI | 1770873697 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA PORISCH Owner 605-348-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH 2102) |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2011-04-12 |