State Treatment and Rehabilitation Academy
NPI #1205028131 in Custer, South Dakota
Provider Information
- NPI Number
- 1205028131
- Entity Type
- Organization
- Organization Name
- State Treatment and Rehabilitation Academy
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SOUTH DAKOTA DEPARTMENT OF CORRECTIONS
- Primary Specialty
- Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children
- Enumeration Date
- Aug 14, 2007
- Last Updated
- Aug 14, 2007
Practice Location
- Address
- 25298 BADGER CLARK RD
- City
- Custer
- State
- South Dakota
- ZIP Code
- 57730-8244
- Phone
- (605) 673-4835
Authorized Official
- Name
- CHARLES GILSON
- Title
- DIRECTOR
- Phone
- (605) 673-2521
Specialties & Taxonomy Codes
| Specialty |
|---|
| Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children — Substance Abuse Treatment, Children |
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