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Evansville Treatment Center, Llc
Substance Use Disorder Rehabilitation Clinic/Center in Evansville, Indiana
NPI 1194878587

Evansville Treatment Center, Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Carlsbad, IN and is specialized in Rehabilitation, Substance Use Disorder. Evansville Treatment Center, Llc practices in Evansville, IN. The NPI Number for Evansville Treatment Center, Llc is 1194878587 and holds a License No. 1361-0-ASR (Indiana).

The current practice location address for Evansville Treatment Center, Llc is 1510 W Franklin St, Evansville, IN and can be reached out via phone at 812-424-0223 and via fax at 812-424-0226. You can also correspond with Evansville Treatment Center, Llc through the mailing address at 6183 PASEO DEL NORTE STE 200, CARLSBAD, CA - 92011-1151 (mailing address contact number: 855-259-2288).

Location: 1510 W Franklin St, Evansville, IN, 92011-1151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1194878587
Provider Name
Evansville Treatment Center, Llc
Credential
Provider Entity Type
Organization
Address
1510 W Franklin St, Evansville, IN, 92011-1151
Phone Number
812-424-0223
Fax Number
812-424-0226
Provider Enumeration Date
01/19/2007
Last Update Date
03/12/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
201359750A 05 IN
3000009982 05 IN
institution
Provider Business Practice Location Address Details
Address
1510 W Franklin St
City
Evansville
State
Indiana
Zip
47710-1032
Phone Number
812-424-0223
Fax Number
812-424-0226
person
Provider Business Mailing Address Details
Address
6183 Paseo Del Norte Ste 200
City
Carlsbad
State
California
Zip
92011-1151
Phone Number
855-259-2288
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
1361-0-ASR (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.
RE0201943 (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.
1361-0-ASR (Indiana)
Definition
Definition to come...
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