Organization
FAYETTE BHC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSIE COSTLEY (DIRECTOR OF PROVIDER ENROLLMENT)
(443) 839-6928
Entity
Organization
Contact information
Practice address
450 ERIE AVE, CONNERSVILLE, IN 47331-3176
(765) 827-8022
Mailing address
450 ERIE AVE, CONNERSVILLE, IN 47331-3176
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
3245S0500X
Children's Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
11/06/2023
Last updated
03/20/2024
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us