Organization
SPRINGFIELD ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEVE GREEN (FACILITY ADMINISTRATOR)
(605) 369-2585
Entity
Organization
Contact information
Practice address
709 6TH ST., SPRINGFIELD, SD 57062
(605) 369-2585
(605) 369-2829
Mailing address
709 6TH STREET, SPRINGFIELD, SD 57062
(605) 369-2585
(605) 369-2829
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
R74 97,383
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5169100
—
SD
Enumeration date
02/06/2007
Last updated
06/03/2008
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