Organization
SOUTHWESTERN BEHAVIORAL HEALTHCARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHRYN ADAMS (CEO)
(812) 423-7791
Entity
Organization
Contact information
Practice address
415 MULBERRY ST, EVANSVILLE, IN 47713-1230
(812) 423-7791
(812) 422-7558
Mailing address
415 MULBERRY ST, EVANSVILLE, IN 47713-1230
(812) 423-7791
(812) 422-7558
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000097841
ANTHEM
—
05
—
100240880
—
IN
01
—
834950
MEDICARE
IN
01
—
839090
MEDICARE
IN
Enumeration date
10/15/2005
Last updated
11/04/2020
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