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Organization

WERNLE YOUTH & FAMILY TREATMENT CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. DARRELL GORDON MSA, JD, CFRM (CEO)
(765) 939-4552
Entity
Organization

Contact information

Practice address
2000 WERNLE RD, RICHMOND, IN 47374-7015
(765) 999-2506
Mailing address
2000 WERNLE RD, P.O. BOX 1386, RICHMOND, IN 47374-7015
(765) 999-2506

Taxonomy

Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
510144198 73834
IN
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
525549198 73847
IN

Other

Enumeration date
08/12/2010
Last updated
08/12/2010
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