Organization
SOUTHEASTERN BEHAVIORAL HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN BROWER (BUSINESS MANAGER)
(605) 336-0510
Entity
Organization
Contact information
Practice address
2000 S SUMMIT AVE, SIOUX FALLS, SD 57105
(605) 336-0510
Mailing address
2000 S SUMMIT AVE, SIOUX FALLS, SD 57105-2727
(605) 336-0510
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1002113
BLUE CROSS & BLUE SHIELD
SD
05
—
5200020
—
SD
Enumeration date
10/26/2006
Last updated
06/21/2018
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