Organization
GREAT PLAINS AREA YOUTH REGIONAL TREATMENT CENTER
Active
Other names
AAYRTC
Organization subpart
No
Provider details
NPI number
Authorized official
DELAINE KELLER (MEDICAL SUPPORT ASSISTANT)
(605) 845-7181
Entity
Organization
Contact information
Practice address
12451 HIGHWAY 1806, MOBRIDGE, SD 57601-0680
(605) 845-7181
(605) 845-5072
Mailing address
PO BOX 680, 12451 HIGHWAY 1806, MOBRIDGE, SD 57601-0680
(605) 845-7181
(605) 845-5072
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5095050
—
SD
01
—
76292
CARF ACCREDITATION
—
01
—
807
DHS ACCREDITATION
SD
Enumeration date
11/14/2006
Last updated
12/29/2022
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