| Brentwood Meadows, Llc | |
|
4488 Roslin Rd Newburgh IN 47630-8590 | |
| (812) 858-7200 | |
| Not Available |
| Full Name | Brentwood Meadows, Llc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 4488 Roslin Rd, Newburgh, Indiana |
| Authorized Official Name and Position | Donna Salee West (DIRECTOR OF LICENSE AND REGULATION) |
| Authorized Official Contact | 8125988989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brentwood Meadows, Llc 4488 Roslin Rd Newburgh IN 47630-8590 Ph: (812) 858-7200 | Brentwood Meadows, Llc 4488 Roslin Rd Newburgh IN 47630-8590 Ph: (812) 858-7200 |
| NPI Number | 1508292582 |
|---|---|
| Provider Enumeration Date | 09/23/2013 |
| Last Update Date | 09/23/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508292582 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 01043877A (Indiana) | Primary |
| 364SP0808X | Clinical Nurse Specialist - Psychiatric/mental Health | 71003322A (Indiana) | Secondary |
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