Organization
SOUTHERN INDIANA TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA LYNN FIFE (LPN)
(812) 256-4686
Entity
Organization
Contact information
Practice address
6509 CHARLESTOWN PIKE, CHARLESTOWN, IN 47111-9622
(812) 256-4686
(812) 256-3949
Mailing address
6509 CHARLESTOWN PIKE, CHARLESTOWN, IN 47111-9622
(812) 256-4686
(812) 256-3949
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
27025026A
IN
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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