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East Indiana Treatment Center, Llc
Substance Use Disorder Rehabilitation Clinic/Center in Greendale, Indiana
NPI 1013060714

East Indiana Treatment Center, Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Carlsbad, IN and is specialized in Rehabilitation, Substance Use Disorder. East Indiana Treatment Center, Llc practices in Greendale, IN. The NPI Number for East Indiana Treatment Center, Llc is 1013060714 and holds a License No. 10780ASR (Indiana).

The current practice location address for East Indiana Treatment Center, Llc is 816 Rudolph Way, Greendale, IN and can be reached out via phone at 812-537-1668 and via fax at 812-537-1625.

Location: 816 Rudolph Way, Greendale, IN, 92011-1155
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013060714
Provider Name
East Indiana Treatment Center, Llc
Credential
Provider Entity Type
Organization
Address
816 Rudolph Way, Greendale, IN, 92011-1155
Phone Number
812-537-1668
Fax Number
812-537-1625
Provider Enumeration Date
01/18/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0279713 05 OH
201345410A 05 IN
3000012052 05 IN
institution
Provider Business Practice Location Address Details
Address
816 Rudolph Way
City
Greendale
State
Indiana
Zip
47025-8312
Phone Number
812-537-1668
Fax Number
812-537-1625
person
Provider Business Mailing Address Details
Address
816 Rudolph Way
City
Greendale
State
Indiana
Zip
47025-8312
Phone Number
812-537-1668
Fax Number
812-537-1625
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
10780ASR (Indiana)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Methadone
Taxonomy
261QM2800X
License No.
10780ASR (Indiana)
Definition
An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
10780ASR (Indiana)
Definition
Definition to come...
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