Easter Seals Rehabilitation Center, INC.
Clinic/Center, Adolescent and Children Mental Health in Evansville, IN. Organization (NPI-2).
NPI number1003979964
StatusActive
Last updated in NPPESJan 23, 2024
Details
- NPI
- 1003979964
- Entity type
- Organization (NPI-2)
- Legal business name
- Easter Seals Rehabilitation Center, INC.
- Organization subpart
- No
- Enumeration date
- Dec 19, 2006
- Certification date
- Jan 23, 2024
- Last updated
- Jan 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0855X | Clinic/Center, Adolescent and Children Mental Health | – | – | Yes |
| 261QD1600X | Clinic/Center, Developmental Disabilities | – | – | |
| 261QM0850X | Clinic/Center, Adult Mental Health | – | – |
Practice location
3701 Bellemeade AveEvansville, IN 47714-0137
Phone 812-479-1411 · Fax 812-437-2636
Mailing address
3701 Bellemeade AveEvansville, IN 47714-0137
Phone 812-479-1411 · Fax 812-437-2636
Authorized official
Rea Tecson
Cfo
8124791411
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