| NPI | 1780830372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACEY HAUCK Counselor 605-271-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD LPC1090) |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2011-01-27 |