Star Academy for Youth
NPI #1831323195 in Custer, South Dakota
Provider Information
- NPI Number
- 1831323195
- Entity Type
- Organization
- Organization Name
- Star Academy for Youth
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Enumeration Date
- May 14, 2009
- Last Updated
- May 14, 2009
Practice Location
- Address
- 12279 BRADY DR
- City
- Custer
- State
- South Dakota
- ZIP Code
- 57730-9160
- Phone
- (605) 673-2521
Authorized Official
- Name
- MR. JEFF BATHKE
- Title
- PROGRAM ADMINISTRATOR
- Phone
- (605) 773-3123
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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