Organization
GIBSON CO. AREA REHABILITATION CENTERS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAY STEPHENS (DIRECTOR OF CHILDREN'S SERVICES)
(812) 385-4968
Entity
Organization
Contact information
Practice address
421 S MAIN ST, PRINCETON, IN 47670-2443
(812) 385-4968
(812) 386-5208
Mailing address
PO BOX 5, 4207 W. STATE ROAD 64, PRINCETON, IN 47670-0005
(812) 386-6312
(812) 385-8778
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
251C00000X
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251C00000X
DEVELOPMENTAL DISABILITIES AGENCY
IN
Enumeration date
11/16/2009
Last updated
11/16/2009
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