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Indiana Center For Recovery Outpatient Services Llc
Substance Abuse Rehabilitation Facility in Fort Wayne, Indiana
NPI 1346949088

Indiana Center For Recovery Outpatient Services Llc is a Substance Abuse Rehabilitation Facility based in Palm Springs, IN. Indiana Center For Recovery Outpatient Services Llc practices in Fort Wayne, IN. The NPI Number for Indiana Center For Recovery Outpatient Services Llc is 1346949088 and holds a License No. (Indiana).

The current practice location address for Indiana Center For Recovery Outpatient Services Llc is 7900 W Jefferson Blvd, Fort Wayne, IN and can be reached out via phone at 561-635-2400.

Location: 7900 W Jefferson Blvd, Fort Wayne, IN, 33461-3000
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1346949088
Provider Name
Indiana Center For Recovery Outpatient Services Llc
Credential
Provider Entity Type
Organization
Address
7900 W Jefferson Blvd, Fort Wayne, IN, 33461-3000
Phone Number
561-635-2400
Fax Number
Provider Enumeration Date
03/02/2023
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
7900 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-4128
Phone Number
561-635-2400
Fax Number
person
Provider Business Mailing Address Details
Address
7900 W Jefferson Blvd
City
Fort Wayne
State
Indiana
Zip
46804-4128
Phone Number
561-635-2400
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
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 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Adolescent and Children Mental Health
Taxonomy
261QM0855X
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 children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
person
Provider's Taxonomy Details 4
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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