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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EAST INDIANA TREATMENT CENTER, LLC

Active Organization

EAST INDIANA TREATMENT CENTER, LLC is a Methadone Clinic organization located in GREENDALE, Indiana. NPI 1013060714 is currently active in the NPPES registry. Verify at CMS.

Methadone Clinic · GREENDALE, IN

Registration Details

NPI Number
1013060714
Provider Type
Organization
NPI Issued
Jan 18, 2007 (19.588260830083 yrs)
Last Updated
Jul 31, 2018
Licenses
10780ASR (IN)
10780ASR (IN)
10780ASR (IN)

Practice Information

Address
816 RUDOLPH WAY
GREENDALE, IN, 470258312
Browse IN providers · Browse ZIP 47025
Phone
8125371668
Fax
8125371625
Primary Specialty
Methadone Clinic
261QM2800X
Additional Specialty
Clinic/Center
Additional Specialty
Methadone Clinic
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.