Organization
CENTERSTONE HEALTH SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNY HARRISON (CEO)
(812) 350-8249
Entity
Organization
Contact information
Practice address
831 DILLON DR STE A, RICHMOND, IN 47374-8048
(765) 983-8000
Mailing address
645 S ROGERS ST STE A, BLOOMINGTON, IN 47403-2353
(812) 339-1691
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
02/17/2023
Last updated
02/17/2023
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