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Southern Indiana Treatment Center, Llc
Substance Use Disorder Rehabilitation Clinic/Center in Charlestown, Indiana
NPI 1932253812

Southern Indiana Treatment Center, Llc is a Substance Use Disorder Rehabilitation Clinic/Center based in Carlsbad, IN and is specialized in Rehabilitation, Substance Use Disorder. Southern Indiana Treatment Center, Llc practices in Charlestown, IN. The NPI Number for Southern Indiana Treatment Center, Llc is 1932253812 and holds a License No. 1076-0-ASR (Indiana).

The current practice location address for Southern Indiana Treatment Center, Llc is 7509 Charlestown Pike, Charlestown, IN and can be reached out via phone at 812-256-4686 and via fax at 812-256-4415. You can also correspond with Southern Indiana Treatment Center, Llc through the mailing address at 6183 PASEO DEL NORTE STE 200, CARLSBAD, CA - 92011-1151 (mailing address contact number: 615-861-6000).

Location: 7509 Charlestown Pike, Charlestown, IN, 92011-1151
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1932253812
Provider Name
Southern Indiana Treatment Center, Llc
Credential
Provider Entity Type
Organization
Address
7509 Charlestown Pike, Charlestown, IN, 92011-1151
Phone Number
812-256-4686
Fax Number
812-256-4415
Provider Enumeration Date
01/22/2007
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
300009020 05 IN
201387960A 05 IN
institution
Provider Business Practice Location Address Details
Address
7509 Charlestown Pike
City
Charlestown
State
Indiana
Zip
47111-9623
Phone Number
812-256-4686
Fax Number
812-256-4415
person
Provider Business Mailing Address Details
Address
7509 Charlestown Pike
City
Charlestown
State
Indiana
Zip
47111-9623
Phone Number
812-256-4686
Fax Number
812-256-4415
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
1076-0-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.
1076-0-ASR (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.
1076-0-ASR (Indiana)
Definition
Definition to come...
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