Organization
NORTH CENTRAL HEALTH SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R. WALLING (PRESIDENT/CEO)
(765) 423-1604
Entity
Organization
Contact information
Practice address
2900 N RIVER RD, WEST LAFAYETTE, IN 47906-3744
(765) 463-2555
Mailing address
201 MAIN ST, #606, LAFAYETTE, IN 47901-1277
(765) 423-1604
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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