State Treatment And Rehabilitation Academy in Custer - Substance Abuse Treatment, Children
State Treatment And Rehabilitation Academy - NPI 1205028131
State Treatment And Rehabilitation Academy is a Substance Abuse Treatment, Children in Custer, South Dakota. State Treatment And Rehabilitation Academy practices all healthcare services and medical treatments related to Substance Abuse Treatment, Children. The NPI Number for State Treatment And Rehabilitation Academy is 1205028131. The last update date is 2007-08-14.
State Treatment And Rehabilitation Academy's current location address is 25298 Badger Clark Rd, Custer, South Dakota. You can contact this provider via phone number 6056734835. The mailing address for State Treatment And Rehabilitation Academy is 25298 Badger Clark Rd, Custer, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | State Treatment And Rehabilitation Academy |
|---|---|
| Address | 25298 Badger Clark Rd, Custer, South Dakota |
| Phone Number | 6056734835 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Gilson Charles |
| Telephone Number | 6056732521 |
NPI Number Detail
| NPI Number | 1205028131 |
|---|---|
| Provider Enumeration Date | 2007-08-14 |
| Last Updated Date | 2007-08-14 |
Provider Mailing Address Detail
| Address | 25298 Badger Clark Rd |
|---|---|
| City | Custer |
| State | South Dakota (SD) |
| Post Code | 577308244 |
| Phone Number | 6056734835 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Substance Abuse Treatment, Children |
|---|---|
| Taxonomy | 3245S0500X |
|
Definition: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and su |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 5160280 | SD | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to State Treatment And Rehabilitation Academy by the Centers for Medicare & Medicaid Services?
The State Treatment And Rehabilitation Academy has been issued the NPI (National Provider Identifier) 1205028131, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the State Treatment And Rehabilitation Academy's physical address?
The State Treatment And Rehabilitation Academy is physically located at 25298 Badger Clark Rd, in the city of Custer, SD, with the postal code 577308244.
What is the area of specialization for State Treatment And Rehabilitation Academy, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for State Treatment And Rehabilitation Academy is Substance Abuse Treatment, Children, and the corresponding taxonomy code that categorizes this area of expertise is 3245S0500X.
On what date did the Centers for Medicare & Medicaid Services issue the 1205028131 to State Treatment And Rehabilitation Academy?
The State Treatment And Rehabilitation Academy received its 1205028131 assignment from the Centers for Medicare & Medicaid Services on 2007-08-14.
As of what date was the information pertaining to State Treatment And Rehabilitation Academy, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to State Treatment And Rehabilitation Academy, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-08-14.