NPI | 1841507142 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARI LYNN BRADSTREAM Chief Executive Officer 605-343-1620 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: SD LPC1102) |
Additional Taxonomies | 101Y00000X Counselor (Licence: SD 102274) |
Enumeration Date | 2010-09-08 |
Last Update Date | 2010-09-08 |