OrganizationActive
State Treatment and Rehabilitation Academy
NPI 1740473115 · Children's Substance Abuse Rehabilitation Facility · Custer, SD
Provider details
- NPI number
- 1740473115
- Entity type
- Organization
- Primary specialty
- Children's Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Charles Gilson, Director(605) 673-2521
Specialties & taxonomies
Residential Treatment Facilities
Practice location
25292 Badger Clark Rd
Custer, SD 57730-8244
Phone: (605) 255-4937
Approximate (ZIP-level) locationGet directions
Mailing address
12279 Brady Dr
Custer, SD 57730-9160
Registry dates
- Enumerated
- 2007-08-20
- Last updated
- 2007-08-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.