| NPI | 1790589174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MAYFORTH Licensed Professional Counselor Mh 605-593-7841 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |