# WERNLE YOUTH & FAMILY TREATMENT CENTER

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

## Provider details

- **NPI number:** 1336454552
- **Authorized official:** MR. DARRELL GORDON MSA, JD, CFRM (CEO)
- **Authorized official phone:** (765) 939-4552

## Contact information

- **Practice address:** 2000 WERNLE RD, RICHMOND, IN 47374-7015
- **Practice address phone:** (765) 999-2506
- **Mailing address:** 2000 WERNLE RD, P.O. BOX 1386, RICHMOND, IN 47374-7015
- **Mailing address phone:** (765) 999-2506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 510144198 73834 | IN | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 525549198 73847 | IN | — |

## Other

- **Enumeration date:** 08/12/2010
- **Last updated:** 08/12/2010