Indiana Center For Recovery, Llc
LBN: Indiana Center For Recovery, Llc
Indiana Center For Recovery, Llc is an health care organization with primary practice located at 1004 W 1St Street , Bloomington IN 47403. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder, Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness, Residential Treatment Facilities / Psychiatric Residential Treatment Facility, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Residential Treatment Facilities / Psychiatric Residential Treatment Facility is the primary health care specialty.
Indiana Center For Recovery, Llc can be contacted via phone (561) 635-2400, or through Vesselov, Kirill via phone (561) 635-2400.
Contact Information
Primary practice address
1004 W 1St Street
Bloomington IN 47403
Phone: (561) 635-2400
Fax: (888) 516-3613
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | ||
Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Illness | 320800000X | ||
Residential Treatment Facilities / Psychiatric Residential Treatment Facility | 323P00000X | ||
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X | 1759-0ASO | Indiana |
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility | 324500000X |
Profile Details
NPI number | 1295276160 |
---|---|
LBN Legal business name | Indiana Center For Recovery, Llc |
DBA Doing business as | |
Authorized official | Vesselov, Kirill |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Mar 13th, 2017 |
Last updated | Jan 24th, 2024 - about 11 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
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