| Centerstone Of Indiana, Inc. | |
|
645 S Rogers St Bloomington IN 47403-2353 | |
| (812) 339-1691 | |
| Not Available |
| Full Name | Centerstone Of Indiana, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 645 S Rogers St, Bloomington, Indiana |
| Authorized Official Name and Position | Marie Michelle Sears (VP) |
| Authorized Official Contact | 8123372285 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centerstone Of Indiana, Inc. 645 S Rogers St Bloomington IN 47403-2353 Ph: () - | Centerstone Of Indiana, Inc. 645 S Rogers St Bloomington IN 47403-2353 Ph: (812) 339-1691 |
| NPI Number | 1972320224 |
|---|---|
| Provider Enumeration Date | 09/26/2024 |
| Last Update Date | 09/26/2024 |
| Certification Date | 08/28/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972320224 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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