Southern Indiana Treatment Center Inc.
NPI #1508085754 in Jeffersonville, Indiana
Provider Information
- NPI Number
- 1508085754
- Entity Type
- Organization
- Organization Name
- Southern Indiana Treatment Center Inc.
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- Apr 25, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 1713 E 10TH ST
- City
- Jeffersonville
- State
- Indiana
- ZIP Code
- 47130-7100
- Phone
- (812) 283-4844
Authorized Official
- Name
- DR. DWIGHT LEROY BLACKBURN, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (812) 283-4844
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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