Whalio Doctors

NPI 1205428331

Avera McKennan

Organisation Substance Abuse Rehabilitation Facility Sioux Falls, SD

Practice location

Address
132 N Dakota Ave, Sioux Falls, SD 57104-6419
Phone
(605) 275-1000
Fax
(605) 275-1007
Mailing address
PO Box 5045 Attn Pfs Prov Enrlmt Palm Place Bldg, Sioux Falls, SD 57117-5045

Authorised official

Name
Ronald Joseph Place
Title
President/Ceo
Phone
(605) 322-7903

Registered specialties (2)

Substance Abuse Rehabilitation Facility Primary
Residential Treatment Facilities Taxonomy 324500000X
Adult Mental Health Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QM0850X

Registry record

NPI
1205428331
Entity type
Organization
NPI issued
10 Feb 2021
Record last updated
4 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.