Indiana Center For Recovery Outpatient Services Llc

LBN: Indiana Center For Recovery Outpatient Services Llc
Indiana Center For Recovery Outpatient Services Llc is an health care organization with primary practice located at 7900 W Jefferson Blvd , Fort Wayne IN 46804-4128. The organization recently has 4 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center), Ambulatory Health Care Facilities / Adult Mental Health, Ambulatory Health Care Facilities / Adolescent and Children Mental Health, Residential Treatment Facilities / Substance Abuse Rehabilitation Facility. Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) is the primary health care specialty. Indiana Center For Recovery Outpatient Services Llc can be contacted via phone (561) 635-2400, or through Vesselov, Kirill via phone (561) 305-0461.

Contact Information

Primary practice address
7900 W Jefferson Blvd Fort Wayne IN 46804-4128
Phone: (561) 635-2400
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Vesselov, Kirill
Phone: (561) 305-0461

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X
Ambulatory Health Care Facilities / Adult Mental Health 261QM0850X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X
Residential Treatment Facilities / Substance Abuse Rehabilitation Facility 324500000X

Profile Details

NPI number 1346949088
LBN Legal business name Indiana Center For Recovery Outpatient Services Llc
DBA Doing business as
Authorized official Vesselov, Kirill
Entity Organization
Organization subpart 1 Yes
Enumeration date Mar 2nd, 2023
Last updated Dec 14th, 2023 - about last year

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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