NPIMap

Organization Active NPI

East Indiana Treatment Center, LLC

  • Methadone Clinic
  • Greendale, IN
National Provider Identifier
1013060714
Registry record updated Apr 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Methadone ClinicTaxonomy code 261QM2800X
License
10780ASR Issued in IN
Legal business name
EAST INDIANA TREATMENT CENTER, LLC
Practice address
816 Rudolph Way
Greendale, IN 47025-8312
Phone
(812) 537-1668
Fax
(812) 537-1625
NPI assigned
Jan 18, 2007
Last updated
Apr 7, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
ACADIA HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Brian Farley
Title
VP & Secretary
Phone
(615) 861-6000

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X 10780ASR IN
Methadone Clinic 261QM2800X 10780ASR IN Primary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X 10780ASR IN

Addresses

Primary practice location

816 Rudolph Way
Greendale, IN 47025-8312

Mailing address

PO Box 682669
Franklin, TN 37068-2669
Phone (760) 710-0819

Other identifiers 3

IdentifierTypeStateIssuer
0279713MedicaidOH
201345410AMedicaidIN
3000012052MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Opioid treatment program
Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191223001739 IN Part B Supplier - Opioid Treatment Program (Otp) 0547694697 Practice locations: Greendale, IN

National Provider Directory

National Provider Directory
Tax ID family
East Indiana Treatment Center LLC2 organizations share this tax ID, including this one
Part of
Acadia Healthcare

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 20

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 20

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1775520000000",
    "number": "1013060714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 682669",
            "city": "FRANKLIN",
            "state": "TN",
            "postal_code": "370682669",
            "telephone_number": "760-710-0819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 RUDOLPH WAY",
            "city": "GREENDALE",
            "state": "IN",
            "postal_code": "470258312",
            "telephone_number": "812-537-1668",
            "fax_number": "812-537-1625"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST INDIANA TREATMENT CENTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ACADIA HEALTHCARE",
        "enumeration_date": "2007-01-18",
        "last_updated": "2026-04-07",
        "certification_date": "2026-04-07",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "VP & SECRETARY",
        "authorized_official_telephone_number": "615-861-6000"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "IN",
            "license": "10780ASR",
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": "IN",
            "license": "10780ASR",
            "primary": true
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "IN",
            "license": "10780ASR",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0279713",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201345410A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000012052",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greendale, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.