| Southern Indiana Treatment Center | |
|
7509 Charlestown Pike Charlestown IN 47111-9623 | |
| (812) 256-4415 | |
| (812) 256-3949 |
| Full Name | Southern Indiana Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 7509 Charlestown Pike, Charlestown, Indiana |
| Authorized Official Name and Position | Ronald Everson (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8122564686 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Indiana Treatment Center 7509 Charlestown Pike Charlestown IN 47111-9623 Ph: (812) 256-4415 | Southern Indiana Treatment Center 7509 Charlestown Pike Charlestown IN 47111-9623 Ph: (812) 256-4415 |
| NPI Number | 1609326313 |
|---|---|
| Provider Enumeration Date | 10/05/2016 |
| Last Update Date | 10/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609326313 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 101YA0Y00X/COUNSELOR (Indiana) | Primary |
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