# SOUTHERN INDIANA TREATMENT CENTER INC.

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

## Provider details

- **NPI number:** 1508085754
- **Authorized official:** DR. DWIGHT LEROY BLACKBURN M.D. (MEDICAL DIRECTOR)
- **Authorized official phone:** (812) 283-4844

## Contact information

- **Practice address:** 1713 E 10TH ST, JEFFERSONVILLE, IN 47130-7100
- **Practice address phone:** (812) 283-4844
- **Practice address fax:** (812) 283-0056
- **Mailing address:** 1713 E 10TH ST, JEFFERSONVILLE, IN 47130-7100
- **Mailing address phone:** (812) 283-4844
- **Mailing address fax:** (812) 283-0056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 08/22/2020