Organization
SOUTHERN INDIANA TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RONALD EVERSON (MEDICAL DIRECTOR)
(812) 256-4686
Entity
Organization
Contact information
Practice address
7509 CHARLESTOWN PIKE, CHARLESTOWN, IN 47111-9623
(812) 256-4415
(812) 256-3949
Mailing address
7509 CHARLESTOWN PIKE, CHARLESTOWN, IN 47111-9623
(812) 256-4415
(812) 256-3949
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
101YA0Y00X/COUNSELOR
IN
Other
Enumeration date
10/05/2016
Last updated
10/05/2016
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