NPI | 1780190967 |
---|---|
Entity Type | Organization |
Authorized Contact | JILL JANECKE Lpc Mh/Owner 605-494-1500 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2017-12-25 |
Last Update Date | 2020-07-16 |