# PIKE COUNTY AREA REHABILITATION CENTERS INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043423312
- **Authorized official:** MR. DANIEL J COCKRUM (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (812) 386-6312

## Contact information

- **Practice address:** 1214 E MAIN ST, PETERSBURG, IN 47567-1339
- **Practice address phone:** (812) 354-8787
- **Mailing address:** PO BOX 5, PRINCETON, IN 47670-0005
- **Mailing address phone:** (812) 386-6312
- **Mailing address fax:** (812) 385-8778

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 05/07/2007
- **Last updated:** 08/22/2020