Organization · Type 2 NPI
Human Service Agency
Substance Use Disorder Rehabilitation Clinic/Center · Watertown, SD
NPI number
1043115280
Active
Practice location
123 19th St NE
Watertown, SD 57201-2823
Fax (605) 886-5447
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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- Ally Mikel HelleCase Manager/Care Coordinator Watertown, SD NPI 1881550903
- Amanda Kannas, RNRegistered Nurse Watertown, SD NPI 1164816815
- Amanda Ulmer, BAMental Health Counselor Watertown, SD NPI 1114586989
- Angela Lee KorellLicensed Practical Nurse Watertown, SD NPI 1245108315
- Angela Renae Larson, BSMental Health Counselor Watertown, SD NPI 1164418646
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About NPI 1043115280
Human Service Agency's National Provider Identifier is 1043115280, issued on Oct 8, 2026. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Watertown, SD. The record was last updated on Oct 12, 2026.