| NPI | 1902067689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA L. EGAN Provider 605-274-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: SD LPC-MH2098) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2008-06-24 |