Organization
TRANSITIONAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KENNETH S GOLDSTEIN PH.D. (PRESIDENT/CEO)
(812) 433-3333
Entity
Organization
Contact information
Practice address
84 WALNUT ST, DANVILLE, IN 46122-1636
(317) 745-4364
(317) 745-4364
Mailing address
2009 MAXWELL AVE, P.O. BOX 4795, EVANSVILLE, IN 47711-4359
(812) 433-3333
(812) 433-3322
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
2539B0003JN08
IN
Other
Enumeration date
05/09/2006
Last updated
08/22/2020
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