Organization
INDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC
Active
Parent organization
INDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
INDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC
Authorized official
KIRILL VESSELOV (PRESIDENT)
(561) 305-0461
Entity
Organization
Contact information
Practice address
601 N SHORE DR STE 102, JEFFERSONVILLE, IN 47130-3144
(561) 635-2400
Mailing address
2925 10TH AVE N, PALM SPRINGS, FL 33461-3000
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
03/02/2023
Last updated
05/16/2024
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