Bloomington Meadows Gp -
NPI #1417968595 in Bloomington, Indiana
Provider Information
- NPI Number
- 1417968595
- Entity Type
- Organization
- Organization Name
- Bloomington Meadows Gp -
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Aug 11, 2006
- Last Updated
- Jan 31, 2011
Practice Location
- Address
- 3600 N PROW RD
- City
- Bloomington
- State
- Indiana
- ZIP Code
- 47404-1616
- Phone
- (812) 331-8000
Authorized Official
- Name
- MS. BECKY NYBERG
- Title
- CFO
- Phone
- (812) 331-8000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychiatric Residential Treatment Facility |
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