| Addiction Recovery Centers Of The Black Hills | |
|
1520 Haines Ave Rapid City SD 57701-0710 | |
| (605) 716-7841 | |
| (605) 718-0404 |
| Full Name | Addiction Recovery Centers Of The Black Hills |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 1520 Haines Ave, Rapid City, South Dakota |
| Authorized Official Name and Position | Julie Birner (DIRECTOR) |
| Authorized Official Contact | 6057167841 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Addiction Recovery Centers Of The Black Hills 1520 Haines Ave Rapid City SD 57701-0710 Ph: (605) 716-7841 | Addiction Recovery Centers Of The Black Hills 1520 Haines Ave Rapid City SD 57701-0710 Ph: (605) 716-7841 |
| NPI Number | 1295878205 |
|---|---|
| Provider Enumeration Date | 02/15/2007 |
| Last Update Date | 08/14/2023 |
| Certification Date | 08/14/2023 |
| Medicare PECOS PAC ID | 6305386574 |
|---|---|
| Medicare Enrollment ID | O20240913003582 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295878205 | NPI | - | NPPES |
| 101 | Other | SD | DIVISION OF ALCOHOL AND D |
| 5006010 | Medicaid | SD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 101 (South Dakota) | Primary |
| Provider Name | Julie Birner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801279807 PECOS PAC ID: 2567902737 Enrollment ID: I20241024003727 |
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