Organization
PINNACLE TREATMENT CENTERS IN-III, LLC
Active
Other names
Kokomo Treatment Services
Organization subpart
No
Provider details
NPI number
Authorized official
ROBYN TANIS (EXECUTIVE DIRECTOR OF CONTRACT MANA)
(856) 533-8762
Entity
Organization
Contact information
Practice address
2906 S REED RD, KOKOMO, IN 46902-3991
(765) 588-2010
Mailing address
1317 ROUTE 73 STE 200, MOUNT LAUREL, NJ 08054-2202
(856) 439-6111
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/22/2024
Last updated
11/13/2024
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