| NPI | 1851640718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDRA MALCOMB President/CEO 605-381-0049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SD 2125) |
| Enumeration Date | 2012-09-06 |
| Last Update Date | 2012-09-06 |