| NPI | 1992445977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY LAKE Mental Health Counselor 605-741-4047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-03-29 |
| Last Update Date | 2026-04-21 |