| Clarksville Psych Hospital, Llc | |
|
1612 Blackiston View Dr Clarksville IN 47129-2013 | |
| (812) 670-4760 | |
| (812) 725-8702 |
| Full Name | Clarksville Psych Hospital, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1612 Blackiston View Dr, Clarksville, Indiana |
| Authorized Official Name and Position | Tamara Moore (REVENUE DIRECTOR) |
| Authorized Official Contact | 2198042526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clarksville Psych Hospital, Llc Po Box 1284 Indianapolis IN 46206-1284 Ph: (812) 670-4760 | Clarksville Psych Hospital, Llc 1612 Blackiston View Dr Clarksville IN 47129-2013 Ph: (812) 670-4760 |
| NPI Number | 1033988100 |
|---|---|
| Provider Enumeration Date | 12/29/2023 |
| Last Update Date | 12/29/2023 |
| Certification Date | 12/29/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033988100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
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