Organization
PAX RIVERBEND LLC
Active
Other names
TruHealing Riverbend
Organization subpart
No
Provider details
NPI number
Authorized official
KIM BROWN (DIRECTOR OF COMPLIANCE)
(870) 243-7219
Entity
Organization
Contact information
Practice address
202 E MAPLE ST, JEFFERSONVILLE, IN 47130-3420
(815) 250-5006
Mailing address
10461 MILL RUN CIR STE 810, OWINGS MILLS, MD 21117-5549
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300040555
—
IN
Enumeration date
08/28/2019
Last updated
03/11/2024
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