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Organization
GIBAULT , INC.
Active
Organization
GIBAULT , INC.
Active
Other names
Gibault Children's Services
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES M SINCLAIR MSSW, JD (PRESIDENT/CEO)
(812) 298-3002
Entity
Organization
Contact information
Practice address
6301 S US HIGHWAY 41, TERRE HAUTE, IN 47802-4771
(812) 299-1156
(812) 298-3044
Mailing address
6301 S US HIGHWAY 41, PO BOX 2316, TERRE HAUTE, IN 47802-4771
(812) 299-1156
(812) 298-3044
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
32301
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45049194
—
KY
Enumeration date
08/18/2008
Last updated
08/18/2008
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