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Organization

SOUTHERN INDIANA TREATMENT CENTER INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DWIGHT LEROY BLACKBURN M.D. (MEDICAL DIRECTOR)
(812) 283-4844
Entity
Organization

Contact information

Practice address
1713 E 10TH ST, JEFFERSONVILLE, IN 47130-7100
(812) 283-4844
(812) 283-0056
Mailing address
1713 E 10TH ST, JEFFERSONVILLE, IN 47130-7100
(812) 283-4844
(812) 283-0056

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary

Other

Enumeration date
04/25/2007
Last updated
08/22/2020
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