Organization
INDIANA CENTER FOR RECOVERY SOUTH BEND, LLC
Active
Organization
INDIANA CENTER FOR RECOVERY SOUTH BEND, LLC
Active
Other names
Hoosier Wellness Providers
Organization subpart
No
Provider details
NPI number
Authorized official
KIRILL VESSELOV (CEO)
(561) 305-0461
Entity
Organization
Contact information
Practice address
215 W 4TH ST, MISHAWAKA, IN 46544-1917
(561) 305-0461
Mailing address
2925 10TH AVE N, PALM SPRINGS, FL 33461-3000
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
283Q00000X
Psychiatric Hospital
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
01/21/2022
Last updated
09/02/2025
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up