State of Indiana, Auditor of State

NPI #1700876224 in Madison, Indiana

Provider Information

NPI Number
1700876224
Entity Type
Organization
Organization Name
State of Indiana, Auditor of State
Primary Specialty
Psychiatric Hospital
Enumeration Date
Oct 26, 2005
Last Updated
Feb 2, 2010

Practice Location

Address
711 GREEN RD
State
Indiana
ZIP Code
47250-2143
Phone
(812) 265-2611

Authorized Official

Name
DR. PEGGY S STEPHENS, M.D.
Title
SUPERINTENDENT MEDICAL DIRECTOR
Phone
(812) 265-2611

Specialties & Taxonomy Codes

Specialty
Psychiatric Hospital

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