Avera Mckennan

NPI #1902559271 in Sioux Falls, South Dakota

Provider Information

NPI Number
1902559271
Entity Type
Organization
Organization Name
Avera Mckennan
Primary Specialty
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
Enumeration Date
Jan 27, 2022
Last Updated
Jan 27, 2022

Practice Location

Address
4400 W 69TH ST
ZIP Code
57108-8170
Phone
(605) 504-3522

Authorized Official

Name
DAVID WILLIAM FLICEK
Title
PRESIDENT/CEO
Phone
(605) 322-7915

Specialties & Taxonomy Codes

Specialty
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, ChildrenSubstance Abuse Treatment, Children

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Organizations

Provider Name
State Treatment and Rehabilitation Academy

Part of South Dakota Department of Corrections

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