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Organization
MADISON CENTER, INC.
Active
Organization
MADISON CENTER, INC.
Active
Parent organization
MADISON CENTER, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
MADISON CENTER, INC.
Authorized official
BRENDA J CLANTON III (CONTRACTS MANAGER)
(574) 283-1107
Entity
Organization
Contact information
Practice address
403 E MADISON ST, SOUTH BEND, IN 46617-2322
(574) 231-0061
(574) 283-1209
Mailing address
403 E MADISON ST, SOUTH BEND, IN 46617-2322
(574) 231-0061
(574) 283-1209
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
406-1-PIP
IN
Other
Enumeration date
01/08/2007
Last updated
04/07/2010
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