Organization
LIFESPRING, INC
Active
Parent organization
LIFESPRING, INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIFESPRING, INC
Authorized official
TERRY STAWAR (CEO)
(812) 206-1234
Entity
Organization
Contact information
Practice address
523 N MAIN ST, ENGLISH, IN 47118-3699
(812) 338-2756
Mailing address
523 N MAIN ST, ENGLISH, IN 47118-3699
(812) 338-2756
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300018377
—
IN
Enumeration date
10/26/2018
Last updated
05/01/2020
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