Organization
COMMUNITY HOWARD REGIONAL HEALTH, INC
Active
Parent organization
MRO
Organization subpart
Yes
Provider details
NPI number
Legal business name
MRO
Authorized official
JOSEPH HOOPER (PRESIDENT & CEO)
(765) 453-8580
Entity
Organization
Contact information
Practice address
3500 S LAFOUNTAIN ST, KOKOMO, IN 46902-3803
(765) 483-8547
Mailing address
6626 E 75TH ST, STE 500, INDIANAPOLIS, IN 46250-2805
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201111550
—
IN
Enumeration date
02/14/2017
Last updated
02/14/2017
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