# SEQUEL TSI OF INDIANA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Englishton Park
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356671192
- **Authorized official:** MR. JOHN STUPAK (PRESIDENT)
- **Authorized official phone:** (267) 419-8913

## Contact information

- **Practice address:** 2426 S PARKER LN, LEXINGTON, IN 47138-8561
- **Practice address phone:** (812) 889-3992
- **Practice address fax:** (812) 889-3990
- **Mailing address:** 2426 S PARKER LN, LEXINGTON, IN 47138-8561
- **Mailing address phone:** (812) 889-3992
- **Mailing address fax:** (812) 889-3990

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | — | Yes |

## Other

- **Enumeration date:** 12/29/2009
- **Last updated:** 12/29/2009