Star Academy for Youth
Star Academy for Youth provides Addiction (Substance Use Disorder) Counselor services in Custer, South Dakota. Licensed in South Dakota. Registered with an NPI since 2009.
- Licensed in
- SD
- In the registry since
- 2009
Practice location Address checks out
12279 Brady DrCuster, SD 57730-9160 Not confirmed with CMS for 17 years — call before visiting
Phone: (605) 673-2521
Fax: (605) 673-4654
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 5000360 (SD) |
|---|
Record details
| NPI number | 1831323195 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jeff Bathke — Program Administrator · (605) 773-3123 |
| NPI enumerated | May 14, 2009 |
| Last updated in NPPES | May 14, 2009 |
| Mailing address | 12279 Brady Dr, Custer, SD 57730-9160 |