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East Indiana Comprehensive Treatment Center

Organization Active NPI Community/Behavioral Health Agency · Greendale, IN

NPI 1780055053 · NPPES record last updated Oct 13, 2015

Key facts

NPI
1780055053
Entity type
Organization (NPI type 2)
Primary specialty
Community/Behavioral Health Agency 251S00000X
License
081062 (OH)
Legal business name
EAST INDIANA COMPREHENSIVE TREATMENT CENTER
Practice address
816 Rudolph Way
Greendale, IN 47025-8312
Phone
(812) 537-1668
Fax
(812) 537-9173
NPI assigned
Oct 13, 2015
Organization subpart
Yes
Parent organization (as reported)
ACADIA HEALTH CARE

Authorized official

Name
Mrs. Ivy Rufina Voynovich, MS LCDC III
Title
Clinical Supervisor
Phone
(812) 537-1668

Corporate family (same tax ID) 1

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

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Tax ID family
East Indiana Comprehensive Treatment Center (2 organizations share this tax ID)
Part of
Haven Behavioral Healthcare

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X 081062 OH Yes

Addresses

Primary practice location

816 Rudolph Way
Greendale, IN 47025-8312

Mailing address

816 Rudolph Way
Greendale, IN 47025-8312
Phone (812) 537-1668

Other providers in Greendale, IN

All providers in Greendale, IN · Community/Behavioral Health Agency in Indiana

Sources for this page

Verify at the official NPI Registry.