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Indiana Center For Recovery South Bend, Llc
Substance Abuse Rehabilitation Facility in Mishawaka, Indiana
NPI 1326790262

Indiana Center For Recovery South Bend, Llc is a Substance Abuse Rehabilitation Facility based in Palm Springs, IN. Indiana Center For Recovery South Bend, Llc practices in Mishawaka, IN. The NPI Number for Indiana Center For Recovery South Bend, Llc is 1326790262 and holds a License No. (Indiana).

The current practice location address for Indiana Center For Recovery South Bend, Llc is 215 W 4Th St, Mishawaka, IN and can be reached out via phone at 561-305-0461.

Location: 215 W 4Th St, Mishawaka, IN, 33461-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1326790262
Provider Name
Indiana Center For Recovery South Bend, Llc
Credential
Provider Entity Type
Organization
Address
215 W 4Th St, Mishawaka, IN, 33461-3000
Phone Number
561-305-0461
Fax Number
Provider Enumeration Date
01/21/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
215 W 4Th St
City
Mishawaka
State
Indiana
Zip
46544-1917
Phone Number
561-305-0461
Fax Number
person
Provider Business Mailing Address Details
Address
215 W 4Th St
City
Mishawaka
State
Indiana
Zip
46544-1917
Phone Number
561-305-0461
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adult Mental Health
Taxonomy
261QM0850X
License No.
()
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
person
Provider's Taxonomy Details 2
Type
Hospitals
Classification
Psychiatric Hospital
Speciality
-
Taxonomy
283Q00000X
License No.
()
Definition
An organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Mental Illness
Speciality
-
Taxonomy
320800000X
License No.
()
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
person
Provider's Taxonomy Details 4
Type
Residential Treatment Facilities
Classification
Psychiatric Residential Treatment Facility
Speciality
-
Taxonomy
323P00000X
License No.
()
Definition
A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital care, when the least restrictive environment is maintained to allow for normalization of the patient's surroundings. The RTF must be both physically and programmatically distinct if it is a part or subunit of a larger treatment program. An RTF is organized and professionally staffed to provide residential treatment of mental disorders to children and adolescents who have sufficient intellectual potential to respond to active treatment (that is, for whom it can reasonably be assumed that treatment of the mental disorder will result in an improved ability to function outside the RTF) for whom outpatient treatment, partial hospitalization or protected and structured environment is medically or psychologically necessary
person
Provider's Taxonomy Details 5
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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