Organization
RIVERCREST SPECIALTY HOSPITAL, LLC
Active
Other names
Medical Behavioral Hospital of Mishawaka
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTY KELTNER (CORP BOD)
(615) 319-6552
Entity
Organization
Contact information
Practice address
1625 E JEFFERSON BLVD, MISHAWAKA, IN 46545-7103
(574) 255-1400
(574) 255-1840
Mailing address
112 W JEFFERSON BLVD STE 600, SOUTH BEND, IN 46601-1921
(574) 255-1400
(574) 255-1840
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Enumeration date
08/05/2014
Last updated
08/13/2024
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