Organization
PIKE COUNTY AREA REHABILITATION CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DANIEL J COCKRUM (EXECUTIVE DIRECTOR)
(812) 386-6312
Entity
Organization
Contact information
Practice address
705 E ILLINOIS ST, PETERSBURG, IN 47567-9803
(812) 354-6560
(812) 354-2037
Mailing address
PO BOX 5, PRINCETON, IN 47670-0005
(812) 386-6312
(812) 385-8778
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/08/2007
Last updated
09/11/2025
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