Organization
ICR INDIANAPOLIS OPERATING SUBSIDIARY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL MOORE (AUTHORIZED OFFICIAL)
(561) 517-3400
Entity
Organization
Contact information
Practice address
5510 S EMERSON AVE, INDIANAPOLIS, IN 46237-2517
(463) 238-1208
Mailing address
2925 10TH AVE N, PALM SPRINGS, FL 33461-3000
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
01/27/2026
Last updated
03/25/2026
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