| NPI | 1780950956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER J. KOZEL President 605-348-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: SD 432) |
| Enumeration Date | 2012-03-31 |
| Last Update Date | 2012-03-31 |