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3008 Bevcher Dr Madison IN 47250-3863 | |
| (812) 265-1918 | |
| (812) 265-1828 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 3008 Bevcher Dr, Madison, Indiana |
| Authorized Official Name and Position | Robert J Williams (CEO) |
| Authorized Official Contact | 8123143400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
720 N Marr Rd Columbus IN 47201-6660 Ph: (812) 314-3400 | 3008 Bevcher Dr Madison IN 47250-3863 Ph: (812) 265-1918 |
| NPI Number | 1467583260 |
|---|---|
| Provider Enumeration Date | 03/07/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467583260 | NPI | - | NPPES |
| 000000209001 | Other | IN | ANTHEM GROUP NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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