| NPI | 1831419894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARAE OBERLOH Operations Director 605-331-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC-MH-2165) |
| Enumeration Date | 2010-06-01 |
| Last Update Date | 2010-06-01 |