Organization
RICHMOND STATE HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADRIAN VILLARIN MD (MEDICAL DIRECTOR)
(765) 966-0511
Entity
Organization
Contact information
Practice address
498 NW 18TH ST, RICHMOND, IN 47374-2851
(765) 966-0511
(765) 935-9503
Mailing address
498 NW 18TH ST, RICHMOND, IN 47374-2851
(765) 966-0511
(765) 935-9503
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
01021356
IN
Other
Enumeration date
09/12/2006
Last updated
07/21/2022
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