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Residential Treatment Facilities Residential Treatment Facility, Physical Disabilities

Provider NPI: 1023199486

Organization Information:
Authorized Official:  ALBERT  TOLBERT  DIRECTOR  812-277-9626

Practice Location:
Tel: 812-849-6000  Fax: 812-849-6002

Business Mailing Address:
651 X ST  BEDFORD, IN 47421-1943 US
Tel: 812-277-9626  Fax: 812-277-9628

NPI Information:
NPI: 1023199486
Entity Type: Organization


PrimaryCodeCategory/DescriptionStateLicense Number
Y320700000XResidential Treatment Facilities
Residential Treatment Facility, Physical Disabilities

Other Provider Identifiers:


American Medical Association 2012 taxonomy code information

Code: 320700000X





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