NPI 1740473115
State Treatment and Rehabilitation Academy
Practice location
- Address
- 25292 Badger Clark Rd, Custer, SD 57730-8244
- Phone
- (605) 255-4937
- Mailing address
- 12279 Brady Dr, Custer, SD 57730-9160
Authorised official
- Name
- Charles Gilson
- Title
- Director
- Phone
- (605) 673-2521
Registered specialties
Children's Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1740473115
- Entity type
- Organization
- NPI issued
- 20 Aug 2007
- Record last updated
- 20 Aug 2007
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.