| NPI | 1942169313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELEISHA DOOLEY Credentialing 605-517-2444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2026-01-20 |
| Last Update Date | 2026-04-13 |