Amethyst House, Inc.
NPI #1770709230 in Bloomington, Indiana
Provider Information
- NPI Number
- 1770709230
- Entity Type
- Organization
- Organization Name
- Amethyst House, Inc.
- Primary Specialty
- Substance Abuse Rehabilitation Facility
- Enumeration Date
- Apr 17, 2007
- Last Updated
- Sep 26, 2011
Practice Location
- Address
- 645 N WALNUT ST
- City
- Bloomington
- State
- Indiana
- ZIP Code
- 47404-3846
- Phone
- (812) 336-3570
Authorized Official
- Name
- MARK DELONG
- Title
- EXECUTIVE DIRECTOR
- Phone
- (812) 336-3570
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
| Substance Abuse Rehabilitation Facility |
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