Organization
CHAMBERLAIN ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE SCHREIBER (FACILITY ADMINISTRATOR)
(605) 234-5525
Entity
Organization
Contact information
Practice address
211 W 16TH AVE, CHAMBERLAIN, SD 57325-0367
(605) 234-5525
(605) 234-6889
Mailing address
211 W 16TH AVE, PO BOX 367, CHAMBERLAIN, SD 57325-0367
(605) 234-5525
(605) 234-6889
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
R 105
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5160750
—
SD
Enumeration date
02/14/2007
Last updated
08/22/2020
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