OrganizationActive
Human Service Agency
NPI 1720074644 · Addiction (Substance Use Disorder) Counselor · Watertown, SD
Provider details
- NPI number
- 1720074644
- Entity type
- Organization
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kari Johnston, Ceo(605) 886-0123
- License
- 704 (SD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility320900000XLicense 704 (SD)
Residential Treatment Facilities
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
123 19th St Ne
Watertown, SD 57201-2823
Phone: (605) 886-0123
Fax: (605) 886-5447
Approximate (ZIP-level) locationGet directions
Mailing address
123 19th St Ne
Watertown, SD 57201-2823
Registry dates
- Enumerated
- 2005-09-26
- Last updated
- 2024-08-06
- Certified
- 2024-08-06
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.