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Organization

INDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC

Active
Parent organization
INDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
INDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC
Authorized official
KIRILL VESSELOV (PRESIDENT)
(561) 461-3791
Entity
Organization

Contact information

Practice address
14555 HAZEL DELL PKWY STE 140, CARMEL, IN 46033-7234
(561) 305-0461
Mailing address
14555 HAZEL DELL PKWY, CARMEL, IN 46033-7000

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center
324500000X
Substance Abuse Rehabilitation Facility

Other

Enumeration date
05/15/2023
Last updated
11/13/2025
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