Organization
RESIDENTIAL CRF, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIM WRIGHT (ACCOUNTING ASSISTANT)
(765) 827-6996
Entity
Organization
Contact information
Practice address
624 UNIVERSITY AVE, SUITE 500, LAS VEGAS, NM 87701-4278
(505) 425-5429
(505) 425-5379
Mailing address
1117 N CENTRAL AVE, CONNERSVILLE, IN 47331-2126
(765) 827-6996
(765) 827-5809
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
1835362
IN
Other
Enumeration date
09/16/2006
Last updated
09/06/2023
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