Wellpoint Recovery Llc | |
3930 Mezzanine Dr Ste B Lafayette IN 47905-8646 | |
(765) 771-7108 | |
(765) 269-9569 |
Full Name | Wellpoint Recovery Llc |
---|---|
Speciality | Clinic/center |
Location | 3930 Mezzanine Dr Ste B, Lafayette, Indiana |
Authorized Official Name and Position | Amabel Piris (PRACTICE MANAGER) |
Authorized Official Contact | 7657717108 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Wellpoint Recovery Llc 3930 Mezzanine Dr Ste B Lafayette IN 47905-8646 Ph: (765) 771-7108 | Wellpoint Recovery Llc 3930 Mezzanine Dr Ste B Lafayette IN 47905-8646 Ph: (765) 771-7108 |
NPI Number | 1518447309 |
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Provider Enumeration Date | 08/21/2018 |
Last Update Date | 03/11/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1518447309 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Secondary |
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