Organization
MERIDIAN HEALTH SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY GATES (MANAGER)
(765) 254-2685
Entity
Organization
Contact information
Practice address
498 NW 18TH ST., BLDG. 416, SUITE A, RICHMOND, IN 47374
(765) 373-8704
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
422-046
IN
Other
Enumeration date
06/20/2018
Last updated
06/20/2018
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