Indiana Center for Recovery Outpatient Services LLC
NPI #1093412793 in Merrillville, Indiana
Provider Information
- NPI Number
- 1093412793
- Entity Type
- Organization
- Organization Name
- Indiana Center for Recovery Outpatient Services LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Feb 13, 2023
- Last Updated
- Dec 14, 2023
Practice Location
- Address
- 1578 E 85TH AVE
- City
- Merrillville
- State
- Indiana
- ZIP Code
- 46410-8900
- Phone
- (561) 305-0461
Authorized Official
- Name
- KIRILL VESSELOV
- Title
- PRESIDENT
- Phone
- (561) 305-0461
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adult Mental Health — Adult Mental Health |
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Substance Abuse Rehabilitation Facility |
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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