NPI 1902559271

Avera McKennan

Organisation Children's Substance Abuse Rehabilitation Facility Sioux Falls, SD

Practice location

Address: 4400 W 69th St, Sioux Falls, SD 57108-8170
Phone: (605) 504-3522
Mailing address: PO Box 86370, Sioux Falls, SD 57118-6370

Authorised official

Name: David William Flicek
Title: President/Ceo
Phone: (605) 322-7915

Registered specialties

Children's Substance Abuse Rehabilitation Facility Primary

Residential Treatment Facilities Taxonomy 3245S0500X

Other Substance Abuse Rehabilitation Facility providers in South Dakota →

Registry record

NPI: 1902559271
Entity type: Organization
NPI issued: 27 Jan 2022
Record last updated: 27 Jan 2022

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.