Healthcare Provider Details

I. General information

NPI: 1366309700
Provider Name (Legal Business Name): ANCHOR'D RECOVERY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1809 N WISCONSIN ST
MITCHELL SD
57301-1067
US

IV. Provider business mailing address

1809 N WISCONSIN ST
MITCHELL SD
57301-1067
US

V. Phone/Fax

Practice location:
  • Phone: 605-990-3733
  • Fax: 605-990-3733
Mailing address:
  • Phone: 605-990-3733
  • Fax: 605-990-3733

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code276400000X
TaxonomySubstance Use Disorder Rehabilitation Hospital Unit
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number
License Number State

VIII. Authorized Official

Name: JAI MIMMACK
Title or Position: EXECUTIVE DIRECTOR
Credential: ACT
Phone: 605-990-3733