Shore Behavioral LLC
NPI #1053080663 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1053080663
- Entity Type
- Organization
- Organization Name
- Shore Behavioral LLC
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Sep 8, 2021
- Last Updated
- Sep 8, 2021
Practice Location
- Address
- 4102 SHORE DR
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46254-2608
- Phone
- (513) 489-7100
Authorized Official
- Name
- ISAAC ROSEDALE
- Title
- PRESIDENT
- Phone
- (513) 489-7100
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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