| NPI | 1861008385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSIE FEHRMAN Director Of Centralized Business Of 605-271-2690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2022-03-15 |