Organization
WITHAM MEMORIAL HOSPITAL
Active
Other names
Witham Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY BRAVERMAN (CEO, PRESIDENT)
(765) 485-8100
Entity
Organization
Contact information
Practice address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(765) 485-8100
(765) 485-8118
Mailing address
2605 N LEBANON ST, LEBANON, IN 46052-1476
(765) 485-8100
(765) 485-8118
Taxonomy
Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
070050931
IN
Other
Enumeration date
02/13/2007
Last updated
07/02/2024
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