Organization
INDIANA RECOVERY CENTERS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BLAKE L BEACH (DIRECTOR)
(772) 341-4472
Entity
Organization
Contact information
Practice address
1130 W JEFFERSON ST STE B, FRANKLIN, IN 46131-2760
(561) 602-3427
(317) 739-3909
Mailing address
1130 W JEFFERSON ST STE B, FRANKLIN, IN 46131-2760
Taxonomy
Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
261QR0800X
Recovery Care Clinic/Center
Primary
—
—
Other
Enumeration date
07/08/2018
Last updated
01/19/2019
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