# CHAMBERLAIN ACADEMY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619010543
- **Authorized official:** MR. MIKE SCHREIBER (FACILITY ADMINISTRATOR)
- **Authorized official phone:** (605) 234-5525

## Contact information

- **Practice address:** 211 W 16TH AVE, CHAMBERLAIN, SD 57325-0367
- **Practice address phone:** (605) 234-5525
- **Practice address fax:** (605) 234-6889
- **Mailing address:** 211 W 16TH AVE, PO BOX 367, CHAMBERLAIN, SD 57325-0367
- **Mailing address phone:** (605) 234-5525
- **Mailing address fax:** (605) 234-6889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | R 105 | SD | Yes |

## Other

- **Enumeration date:** 02/14/2007
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5160750 | — | SD |