| NPI | 1922374826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMONA SIMON Tribal Health CEO 605-964-0785 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: SD 126) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 251S00000X | |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2022-08-05 |