Organization
GOSPORT RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE ORLINSKY (CEO)
(314) 971-1631
Entity
Organization
Contact information
Practice address
27 S 7TH ST, GOSPORT, IN 47433-7010
(317) 947-0233
Mailing address
3960 SOUTHEASTERN AVE, INDIANAPOLIS, IN 46203-1500
(317) 947-0233
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
11/11/2024
Last updated
11/11/2024
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