Organization
SPECTRUM COMMUNITY SERVICES OF INDIANA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. M DEBORAH FRISK MSW (VICE PRESIDENT)
(262) 569-5515
Entity
Organization
Contact information
Practice address
5038 GREENVIEW COURT, BATTLE GROUND, IN 47920
(765) 567-0063
Mailing address
PO BOX 278, DOUSMAN, WI 53118
(262) 569-5515
(262) 569-9962
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
IN
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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