| NPI | 1962858985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA MCCUSKER Owner/Founder 605-415-1616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD CP001043) |
| Enumeration Date | 2016-05-09 |
| Last Update Date | 2017-03-20 |