NPI | 1891320867 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA JOCKHECK Ms, Lpc Mh, Cdvc Iii, Qmhp 605-224-7247 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-03-10 |
Last Update Date | 2020-03-10 |