| Clinical Family Services Llc | |
|
1404 Kimmell Road Vincennes IN 47591 | |
| (317) 919-0093 | |
| Not Available |
| Full Name | Clinical Family Services Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1404 Kimmell Road, Vincennes, Indiana |
| Authorized Official Name and Position | Anthony Lee Gray (PRESIDENT) |
| Authorized Official Contact | 3179190093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinical Family Services Llc 1404 Kimmell Road Vincennes IN 47591 Ph: (317) 919-0093 | Clinical Family Services Llc 1404 Kimmell Road Vincennes IN 47591 Ph: (317) 919-0093 |
| NPI Number | 1417663295 |
|---|---|
| Provider Enumeration Date | 01/25/2023 |
| Last Update Date | 01/25/2023 |
| Certification Date | 01/25/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417663295 | NPI | - | NPPES |
| 100133060 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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