NPI | 1912541921 |
---|---|
Entity Type | Organization |
Authorized Contact | JOANNA MARYE PREWITT Owner/President 605-519-5850 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2019-11-01 |
Last Update Date | 2019-11-01 |