Organization · Type 2 NPI

State Treatment and Rehabilitation Academy

Children's Substance Abuse Rehabilitation Facility · Custer, SD

NPI number 1205028131 Active

Practice location

25298 Badger Clark Rd
Custer, SD 57730-8244

Mailing address

12279 Brady Dr
Custer, SD 57730-9160

Specialties and licenses

TaxonomyCodeLicense
Children's Substance Abuse Rehabilitation Facility Primary 3245S0500XNone listed

Children's Substance Abuse Rehabilitation Facility: 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 supportive counseling services and education services are included.

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About NPI 1205028131

State Treatment and Rehabilitation Academy's National Provider Identifier is 1205028131, issued on Aug 14, 2007. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Custer, SD. The record was last updated on Aug 14, 2007.