Organization
GIBAULT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES M SINCLAIR MSSW, JD (PRESIDENT CEO)
(812) 298-3002
Entity
Organization
Contact information
Practice address
6301 S US HWY 41, TERRE HAUTE, IN 47802-0316
(812) 299-1156
Mailing address
6301 S US HWY 41, PO BOX 2316, TERRE HAUTE, IN 47802-0316
(812) 299-1156
Taxonomy
Speciality
Code
Description
License number
State
385HR2055X
Child Mental Illness Respite Care
Primary
32301
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200480150A
—
IN
Enumeration date
11/07/2006
Last updated
07/17/2008
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