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Organization
SEQUEL TSI OF INDIANA, LLC
Active
Organization
SEQUEL TSI OF INDIANA, LLC
Active
Other names
Englishton Park
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN STUPAK (PRESIDENT)
(267) 419-8913
Entity
Organization
Contact information
Practice address
2426 S PARKER LN, LEXINGTON, IN 47138-8561
(812) 889-3992
(812) 889-3990
Mailing address
2426 S PARKER LN, LEXINGTON, IN 47138-8561
(812) 889-3992
(812) 889-3990
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/29/2009
Last updated
12/29/2009
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