| NPI | 1992199988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZETTE WASVICK Owner 605-390-8791 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X (Licence: SD 2264) |
| Enumeration Date | 2015-03-27 |
| Last Update Date | 2024-02-01 |