| NPI | 1962019976 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE WOUDSTRA Clinical Director 605-275-8820 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2026-09-24 |