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STATE TREATMENT AND REHABILITATION ACADEMY
NPI 1205028131
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children in Custer, SD

Active since August 14, 2007
25298 BADGER CLARK RD, CUSTER, SD 57730(605) 673-4835 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About State Treatment And Rehabilitation Academy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

STATE TREATMENT AND REHABILITATION ACADEMY (NPI 1205028131) is a healthcare organization registered as a substance abuse treatment, children in Custer, South Dakota and active in the NPI registry since August 2007. The organization lists Charles Gilson, Director, as its authorized official.

NPPES Registry Identity

NPI1205028131
Entity TypeOrganization
Primary Taxonomy3245S0500X
Legal Business NameSTATE TREATMENT AND REHABILITATION ACADEMY
Location Address25298 BADGER CLARK RDCuster, SD 57730-8244
Mailing Address12279 Brady DrCuster, SD 57730-9160
Phone(605) 673-4835
Organization SubpartYesParent: South Dakota Department Of Corrections
Authorized OfficialCharles GilsonDirector · (605) 673-2521
Enumeration DateAugust 14, 2007
✔ NPI 1205028131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySubstance Abuse Rehabilitation Facility · Substance Abuse Treatment, ChildrenResidential Treatment Facilities
Taxonomy Code3245S0500X
Definition
A facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.
25298 BADGER CLARK RD, Custer, SD 57730
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Other Identifiers 1

Medicaid5160280SD

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is State Treatment And Rehabilitation Academy's NPI number?

The NPI number for State Treatment And Rehabilitation Academy is 1205028131. It was assigned to this organization in the NPPES registry on August 14, 2007.

Where is State Treatment And Rehabilitation Academy located?

State Treatment And Rehabilitation Academy is located at 25298 Badger Clark Rd, Custer, SD 57730. The listed phone number is (605) 673-4835.

What is State Treatment And Rehabilitation Academy's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility, specializing in Substance Abuse Treatment, Children, with taxonomy code 3245S0500X.

When was this NPI record last updated?

The NPPES record for State Treatment And Rehabilitation Academy was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.