# GIBAULT , INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gibault Children's Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1871749119
- **Authorized official:** JAMES M SINCLAIR MSSW, JD (PRESIDENT/CEO)
- **Authorized official phone:** (812) 298-3002

## Contact information

- **Practice address:** 6301 S US HIGHWAY 41, TERRE HAUTE, IN 47802-4771
- **Practice address phone:** (812) 299-1156
- **Practice address fax:** (812) 298-3044
- **Mailing address:** 6301 S US HIGHWAY 41, PO BOX 2316, TERRE HAUTE, IN 47802-4771
- **Mailing address phone:** (812) 299-1156
- **Mailing address fax:** (812) 298-3044

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | 32301 | IN | Yes |

## Other

- **Enumeration date:** 08/18/2008
- **Last updated:** 08/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 45049194 | — | KY |