| NPI | 1821444381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA L LOGAN Counselor 605-999-6162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH2101) |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2018-04-23 |