Organization
GREAT PLAINS AREA YOUTH REGIONAL TREATMENT CENTER
Active
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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