Provider Demographics
NPI:1669808119
Name:A NEW DAY RECOVERY SERVICES PLLC
Entity type:Organization
Organization Name:A NEW DAY RECOVERY SERVICES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHAIRMAN OF THE BOARD
Authorized Official - Prefix:MRS
Authorized Official - First Name:CINDY
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:CCDC II
Authorized Official - Phone:605-209-8043
Mailing Address - Street 1:2040 W MAIN ST
Mailing Address - Street 2:SUITE 302
Mailing Address - City:RAPID CITY
Mailing Address - State:SD
Mailing Address - Zip Code:57702-0904
Mailing Address - Country:US
Mailing Address - Phone:605-791-0200
Mailing Address - Fax:605-791-0567
Practice Address - Street 1:2040 W MAIN ST
Practice Address - Street 2:SUITE 302
Practice Address - City:RAPID CITY
Practice Address - State:SD
Practice Address - Zip Code:57702-0904
Practice Address - Country:US
Practice Address - Phone:605-791-0200
Practice Address - Fax:605-791-0567
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-16
Last Update Date:2013-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD12091539251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health