| Anderson Psychiatric Clinic Llc | |
|
431 West 9th Street Anderson IN 46016-1317 | |
| (765) 649-2234 | |
| (765) 640-0538 |
| Full Name | Anderson Psychiatric Clinic Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 431 West 9th Street, Anderson, Indiana |
| Authorized Official Name and Position | John E Wenger (OWNER) |
| Authorized Official Contact | 7656492234 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Psychiatric Clinic Llc 431 West 9th Street Anderson IN 46016-1317 Ph: (765) 649-2234 | Anderson Psychiatric Clinic Llc 431 West 9th Street Anderson IN 46016-1317 Ph: (765) 649-2234 |
| NPI Number | 1659441905 |
|---|---|
| Provider Enumeration Date | 11/08/2006 |
| Last Update Date | 05/16/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659441905 | NPI | - | NPPES |
| 100170630A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Secondary |
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