NPI | 1154979805 |
---|---|
Doing Business As | AVERA ADDICTION CARE CENTER |
Entity Type | Organization |
Authorized Contact | RONALD JOSEPH PLACE President/CEO 605-322-7903 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2019-08-27 |
Last Update Date | 2023-10-04 |