State Treatment And Rehabilitation Academy in Custer - Substance Abuse Treatment, Children
State Treatment And Rehabilitation Academy - NPI 1740473115
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 1740473115. The last update date is 2007-08-20.
State Treatment And Rehabilitation Academy's current location address is 25292 Badger Clark Rd, Custer, South Dakota. You can contact this provider via phone number 6052554937. The mailing address for State Treatment And Rehabilitation Academy is 25292 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 | 25292 Badger Clark Rd, Custer, South Dakota |
| Phone Number | 6052554937 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Gilson Charles |
| Telephone Number | 6056732521 |
NPI Number Detail
| NPI Number | 1740473115 |
|---|---|
| Provider Enumeration Date | 2007-08-20 |
| Last Updated Date | 2007-08-20 |
Provider Mailing Address Detail
| Address | 25292 Badger Clark Rd |
|---|---|
| City | Custer |
| State | South Dakota (SD) |
| Post Code | 577308244 |
| Phone Number | 6052554937 |
| 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 |
|---|---|---|---|
| 5160390 | SD | -- |
Post Comment/ Review Below
What is the State Treatment And Rehabilitation Academy's 1740473115?
The State Treatment And Rehabilitation Academy's NPI (National Provider Identifier) Number is 1740473115. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where State Treatment And Rehabilitation Academy's facilities are situated?
The facilities of State Treatment And Rehabilitation Academy are physically located at the following address: 25292 Badger Clark Rd, Custer, SD, 577308244.
What is the State Treatment And Rehabilitation Academy's specialty and taxonomy code?
The State Treatment And Rehabilitation Academy's specialty is Substance Abuse Treatment, Children, and the corresponding taxonomy code is 3245S0500X.
When was the State Treatment And Rehabilitation Academy's 1740473115 issued?
The State Treatment And Rehabilitation Academy's 1740473115 was issued on 2007-08-20.
As of what date were the State Treatment And Rehabilitation Academy's details last updated?
The information pertaining to the State Treatment And Rehabilitation Academy, including its address, specialty, and other details, was most recently updated on 2007-08-20.