Organization
MERIDIAN HEALTH SERVICES CORP
Active
Other names
Residential Substance Abuse Treatment Program
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK SHAFER (CFO, VP)
(765) 288-1928
Entity
Organization
Contact information
Practice address
498 NW 18TH ST, SUITE A, RICHMOND, IN 47374-2851
(765) 288-1928
(765) 741-0335
Mailing address
240 N TILLOTSON AVE, MUNCIE, IN 47304-3988
(765) 288-1928
(765) 741-0335
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
12/15/2016
Last updated
12/15/2016
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