Indianapolis Recovery LLC
Substance Abuse Rehabilitation Facility in Indianapolis, IN. Organization (NPI-2).
NPI number1164064242
StatusActive
Last updated in NPPESApr 16, 2021
Details
- NPI
- 1164064242
- Entity type
- Organization (NPI-2)
- Legal business name
- Indianapolis Recovery LLC
- Organization subpart
- No
- Enumeration date
- Oct 10, 2019
- Certification date
- Apr 16, 2021
- Last updated
- Apr 16, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Other names
- Hickory Treatment Center At Indianapolis (Doing Business As)
Practice location
2926 N Capitol AveIndianapolis, IN 46208-5131
Phone 317-926-0254
Mailing address
Po Box 191310Saint Louis, MO 63119-7310
Authorized official
Liz Murphy
Coo
3142581037
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