Icr Operating Subsidiary, LLC
NPI #1629928767 in Bloomington, Indiana
Provider Information
- NPI Number
- 1629928767
- Entity Type
- Organization
- Organization Name
- Icr Operating Subsidiary, LLC
- Primary Specialty
- Psychiatric Residential Treatment Facility
- Enumeration Date
- Jan 29, 2026
- Last Updated
- Jan 29, 2026
Practice Location
- Address
- 1004 W 1ST ST
- City
- Bloomington
- State
- Indiana
- ZIP Code
- 47403-2208
- Phone
- (305) 361-9115
Authorized Official
- Name
- DANIEL MOORE
- Title
- AUTHORIZED OFFICIAL
- Phone
- (305) 361-9115
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Mental Illness |
| Substance Abuse Rehabilitation Facility |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
| Psychiatric Residential Treatment Facility |
Additional Practice Locations
3225 S Duncan Rd
Bloomington, IN, 47403-9513
(305) 361-9115
409 W 1st St
Bloomington, IN, 47403-2403
(305) 361-9115
412 W 4th St
Bloomington, IN, 47404-5124
(305) 361-9115
416 W 4th St
Bloomington, IN, 47404-5124
(305) 361-9115
501 S Rogers St
Bloomington, IN, 47403-2310
(305) 361-9115
609 E Miller Dr
Bloomington, IN, 47401-6539
(305) 361-9115
611 E Miller Dr
Bloomington, IN, 47401-6539
(305) 361-9115
611 E 1st St
Bloomington, IN, 47401-4807
(305) 361-9115
637 S Walker St # 5
Bloomington, IN, 47403-2176
(305) 361-9115
901 W 1st St
Bloomington, IN, 47403-2205
(305) 361-9115
903 W 1st St
Bloomington, IN, 47403-2205
(305) 361-9115
909 W 1st St
Bloomington, IN, 47403-2274
(305) 361-9115
610 E MILLER DR
Bloomington, IN, 47401
(305) 361-9115
1008 W 1st Street
Bloomington, IN, 47403
(305) 361-9115
1000 W 1st St
Bloomington, IN, 47403-2208
(305) 361-9115
1006 W 1st Street
Bloomington, IN, 47404
(305) 361-9115
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