Lifespring, INC

NPI #1891262994 in Rockport, Indiana

Provider Information

NPI Number: 1891262994
Entity Type: Organization
Organization Name: Lifespring, INC
Subpart: Yes (part of a larger organization)
Parent Organization: LIFESPRING, INC
Primary Specialty: Community/Behavioral Health
Enumeration Date: Oct 26, 2018
Last Updated: May 1, 2020

Practice Location

Address: 818 MADISON ST
City: Rockport
State: Indiana
ZIP Code: 47635-1241
Phone: (812) 649-9168

Authorized Official

Name: TERRY STAWAR
Title: CEO
Phone: (812) 206-1234

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center)	261QM0801X
Clinic/Center - Multi-Specialty — Multi-Specialty	261QM1300X
Community/Behavioral Health	251S00000X	Primary

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