Indiana Center for Recovery Outpatient Services LLC
NPI #1336848076 in Jeffersonville, Indiana
Provider Information
- NPI Number
- 1336848076
- Entity Type
- Organization
- Organization Name
- Indiana Center for Recovery Outpatient Services LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- INDIANA CENTER FOR RECOVERY OUTPATIENT SERVICES LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Mar 2, 2023
- Last Updated
- May 16, 2024
Practice Location
- Address
- 601 N SHORE DR STE 102
- City
- Jeffersonville
- State
- Indiana
- ZIP Code
- 47130-3144
- Phone
- (561) 635-2400
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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