| NPI | 1790857860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY EILEEN GARCIA Finance Manager 605-988-3775 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC MH 2087) |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2011-11-02 |