Sequel Tsi of Indiana, LLC

NPI #1356671192 in Lexington, Indiana

Provider Information

NPI Number: 1356671192
Entity Type: Organization
Organization Name: Sequel Tsi of Indiana, LLC
Primary Specialty: Residential Treatment Facility, Emotionally Disturbed Children
Enumeration Date: Dec 29, 2009
Last Updated: Dec 29, 2009

Practice Location

Address: 2426 S PARKER LN
City: Lexington
State: Indiana
ZIP Code: 47138-8561
Phone: (812) 889-3992

Authorized Official

Name: MR. JOHN STUPAK
Title: PRESIDENT
Phone: (267) 419-8913

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Emotionally Disturbed Children	322D00000X	Primary

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