NPI 1316683204

Great Plains Area Youth Regional Treatment Center

Organisation Mental Illness Community Based Residential Treatment Facility Mobridge, SD

Practice location

Address: 12451 Hwy 1806 N, Mobridge, SD 57601-5760
Phone: (605) 845-7181
Fax: (605) 845-5072
Mailing address: PO Box 680, Mobridge, SD 57601-0680

Authorised official

Name: Lavon Booth
Title: Program Director
Phone: (605) 845-7181

Registered specialties (3)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in South Dakota →

Mental Health Counselor

Behavioral Health & Social Service Providers Taxonomy 101YM0800X

Other Counselor providers in South Dakota →

Community/Behavioral Health Agency

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in South Dakota →

Registry record

NPI: 1316683204
Entity type: Organization
NPI issued: 12 May 2022
Record last updated: 4 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.