Organization
HARSHA OUTPATIENT SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY NEAR (CAO)
(812) 298-8888
Entity
Organization
Contact information
Practice address
4733 S 7TH ST, TERRE HAUTE, IN 47802-4559
(812) 234-4899
(812) 234-6614
Mailing address
4733 S 7TH ST, TERRE HAUTE, IN 47802-4559
(812) 234-4899
(812) 234-6614
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
364S00000X
Clinical Nurse Specialist
—
—
Other
Enumeration date
06/18/2014
Last updated
01/20/2015
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