Organization
STATE TREATMENT AND REHABILITATION ACADEMY
Active
Organization
STATE TREATMENT AND REHABILITATION ACADEMY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES GILSON (DIRECTOR)
(605) 673-2521
Entity
Organization
Contact information
Practice address
25292 BADGER CLARK RD, CUSTER, SD 57730-8244
(605) 255-4937
Mailing address
12279 BRADY DR, CUSTER, SD 57730-9160
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5160390
—
SD
Enumeration date
08/20/2007
Last updated
08/20/2007
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up