NPI | 1891123956 |
---|---|
Entity Type | Organization |
Authorized Contact | SHANE MICHAEL LARSON President 605-520-0157 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: SD LPC-MH2210) |
Enumeration Date | 2013-10-28 |
Last Update Date | 2013-10-28 |