Organization
FATHERS FOREVER COALITION, INC
Active
Other names
Families Forever
Organization subpart
No
Provider details
NPI number
Authorized official
CASEY M DEROSSETT (DIRECTOR OF WELLNESS AND RECOVERY)
(812) 278-7590
Entity
Organization
Contact information
Practice address
1129 16TH ST, BEDFORD, IN 47421-3721
(812) 329-6941
(812) 675-8416
Mailing address
1129 16TH ST, BEDFORD, IN 47421-3721
(812) 329-6941
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/11/2022
Last updated
04/11/2022
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