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Indiana Detox Llc
Substance Abuse Rehabilitation Facility in Bloomington, Indiana
NPI 1255075008

Indiana Detox Llc is a Substance Abuse Rehabilitation Facility based in Boca Raton, IN. Indiana Detox Llc practices in Bloomington, IN. The NPI Number for Indiana Detox Llc is 1255075008 and holds a License No. (Indiana).

The current practice location address for Indiana Detox Llc is 2306 W 3Rd St, Bloomington, IN and can be reached out via phone at 609-202-5669. You can also correspond with Indiana Detox Llc through the mailing address at 21301 POWERLINE RD STE 311, BOCA RATON, FL - 33433-2305 (mailing address contact number: ).

Location: 2306 W 3Rd St, Bloomington, IN, 33433-2305
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255075008
Provider Name
Indiana Detox Llc
Credential
Provider Entity Type
Organization
Address
2306 W 3Rd St, Bloomington, IN, 33433-2305
Phone Number
609-202-5669
Fax Number
Provider Enumeration Date
04/26/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
2306 W 3Rd St
City
Bloomington
State
Indiana
Zip
47404-5219
Phone Number
609-202-5669
Fax Number
person
Provider Business Mailing Address Details
Address
2306 W 3Rd St
City
Bloomington
State
Indiana
Zip
47404-5219
Phone Number
609-202-5669
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
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