Organization
AMICUS RENEW & RECOVERY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE D DAVIDSON JR. (CEO)
(765) 425-7794
Entity
Organization
Contact information
Practice address
4701 N KEYSTONE AVE STE 501, INDIANAPOLIS, IN 46205-1581
(765) 425-7794
(317) 863-7462
Mailing address
9065 CRYSTAL LAKE DR, INDIANAPOLIS, IN 46240-6414
(765) 425-7794
(317) 863-7462
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
02/06/2026
Last updated
02/06/2026
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