ABERDEEN AREA YOUTH REGIONAL TREATMENT CENTER (NPI# 1770872244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770872244 |
| Entity Type | Organization |
| Organization Name | ABERDEEN AREA YOUTH REGIONAL TREATMENT CENTER |
| Practice Address |
12451 Highway 1806 Mobridge SD 57601-0680 |
| Practice Telephone | 6058457181 |
| Practice Fax Number | 6058455072 |
| Mailing Telephone | 6058457181 |
| Mailing Fax Number | 6058455072 |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-04-05 |
| Authorized Official Name | MISS TEDI MARIE CLAYMORE (TEACHER (SPED)) |
| Authorized Official Telephone | 6058457181 |
| Authorized Official Credential | B.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
60465 | SD | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518039627 | Aberdeen Area Youth Regional Treatment Center | Substance Abuse Rehabilitation Facility | 12451 Highway 1806, Mobridge, SD 57601-0680 | 2006-11-14 |
| Street Address |
12451 HIGHWAY 1806 |
| City | MOBRIDGE |
| State | SD |
| Zip Code | 57601-0680 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912078429 | Carmen J. Cutt | Counselor | 12451 Highway 1806, Mobridge, SD 57601 | 2006-11-13 |
| 1134447402 | Brian F. Reiner | Psychologist | 12451 Highway 1806, Mobridge, SD 57601-5760 | 2010-05-12 |
| 1073678660 | Faith Antoinette Laroche | Counselor | 12451 Highway 1806, Mobridge, SD 57601 | 2006-12-26 |
| 1518039627 | Aberdeen Area Youth Regional Treatment Center | Substance Abuse Rehabilitation Facility | 12451 Highway 1806, Mobridge, SD 57601-0680 | 2006-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881761096 | Alfred T Smith | Counselor | 1245 Hwy 1806th, Mobridge, SD 57601 | 2006-11-30 |
| 1629090162 | Craig Dockter | Optometrist | 1315 10th Ave, Mobridge, SD 57601 | 2006-07-24 |
| 1437786373 | Courtney M Nicholson | Counselor | 12451 Hwy 1806, Mobridge, SD 57601 | 2020-03-23 |
| 1922634062 | Mary Lerae Herman | Registered Nurse | 12451 Hwy 1806, Mobridge, SD 57601 | 2020-03-20 |
| 1063870194 | Karen Fryhling | Nurse Practitioner | 1309 10th Ave W, Mobridge, SD 57601 | 2016-02-03 |
| 1508271115 | Matthew Jacob Schaffer | Family Medicine | 1309 10th Ave W, Mobridge, SD 57601 | 2014-06-23 |
| 1871807206 | Shadow Anesthesia Services, LLC | Clinic/Center | 1401 10th Ave W, Mobridge, SD 57601 | 2010-07-27 |
| 1902051162 | Celeste Anne Karzon | Specialist | 12451 Hwy 1806, Mobridge, SD 57601 | 2008-12-01 |
| 1598975997 | Roxann Dakota Spottedeagle | Counselor | 12451 Hwy 1806, Mobridge, SD 57601 | 2007-05-23 |
| 1902948896 | Mobridge Regional Hospital | General Acute Care Hospital | 1401 10th Ave W, Mobridge, SD 57601 | 2007-02-14 |
| Find all providers in zip 57601 | ||||
| Taxonomy Code | 3245S0500X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| Specialization | Substance Abuse Treatment, Children |
| A facility or distinct part of a facility 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740473115 | State Treatment and Rehabilitation Academy | Substance Abuse Rehabilitation Facility | 25292 Badger Clark Rd, Custer, SD 57730-8244 | 2007-08-20 |
| 1205028131 | State Treatment and Rehabilitation Academy | Substance Abuse Rehabilitation Facility | 25298 Badger Clark Rd, Custer, SD 57730-8244 | 2007-08-14 |
| 1124241682 | Eugene R Regier | Substance Abuse Rehabilitation Facility | 1010 E 2nd St, Canton, SD 57013-1905 | 2007-04-11 |
Please comment or provide details below to improve the information on ABERDEEN AREA YOUTH REGIONAL TREATMENT CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.