# CHILDPLACE, INC.

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

## Provider details

- **NPI number:** 1578685160
- **Authorized official:** MR. BRIAN G. DAVIS (PROGRAM SUPERVISOR)
- **Authorized official phone:** (812) 282-8248

## Contact information

- **Practice address:** 2420 E 10TH ST, JEFFERSONVILLE, IN 47130-7303
- **Practice address phone:** (812) 282-8248
- **Practice address fax:** (812) 282-3291
- **Mailing address:** 2420 E 10TH ST, JEFFERSONVILLE, IN 47130-7303
- **Mailing address phone:** (812) 282-8248
- **Mailing address fax:** (812) 282-3291

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 33428 10-900845 | IN | Yes |

## Other

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