| Blue River Services, Inc. | |
|
14495 Huff St Ne Palmyra IN 47164-8876 | |
| (812) 738-2408 | |
| Not Available |
| Full Name | Blue River Services, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 14495 Huff St Ne, Palmyra, Indiana |
| Authorized Official Name and Position | Rose A Book (FISCAL DIRECTOR) |
| Authorized Official Contact | 8127382408 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue River Services, Inc. Po Box 547 Corydon IN 47112-0547 Ph: (812) 738-2408 | Blue River Services, Inc. 14495 Huff St Ne Palmyra IN 47164-8876 Ph: (812) 738-2408 |
| NPI Number | 1134753403 |
|---|---|
| Provider Enumeration Date | 02/26/2020 |
| Last Update Date | 02/26/2020 |
| Certification Date | 02/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134753403 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |