| NPI | 1841930138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN KAYE WEBER Licensed Addiction Counselor 605-999-5162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-04-01 |
| Last Update Date | 2022-04-01 |