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Organization

SELAH HOUSE, LLC

Active
Other names
Selah House
Organization subpart
No

Provider details

NPI number
Authorized official
BENJAMIN BRADY (CFO)
(615) 864-8145
Entity
Organization

Contact information

Practice address
1180 N. 300 EAST, ANDERSON, IN 46012
(765) 715-5585
(765) 641-0066
Mailing address
1035 MONTICELLO DR, ANDERSON, IN 46011-1223

Taxonomy

Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
1555-1-PIP
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
006060800359
STATE CERTIFICATION CONTR
IN
01
03266
IAEDP
IN
Enumeration date
07/12/2007
Last updated
04/20/2026
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