Organization
CLARKSVILLE PSYCH HOSPITAL, LLC
Active
Other names
Brightwell Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
TAMARA MOORE (REVENUE DIRECTOR)
(219) 804-2526
Entity
Organization
Contact information
Practice address
1612 BLACKISTON VIEW DR, CLARKSVILLE, IN 47129-2013
(812) 670-4760
(812) 725-8702
Mailing address
PO BOX 1284, INDIANAPOLIS, IN 46206-1284
(812) 670-4760
(812) 725-8702
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/29/2023
Last updated
12/29/2023
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