| NPI | 1952906828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE JANE LARSEN Counselor 605-484-5620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-01 |
| Last Update Date | 2020-12-01 |