| East Indiana Comprehensive Treatment Center | |
|
816 Rudolph Way Greendale IN 47025-8312 | |
| (812) 537-1668 | |
| (812) 537-9173 |
| Full Name | East Indiana Comprehensive Treatment Center |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 816 Rudolph Way, Greendale, Indiana |
| Authorized Official Name and Position | Ivy Rufina Voynovich (CLINICAL SUPERVISOR) |
| Authorized Official Contact | 8125371668 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| East Indiana Comprehensive Treatment Center 816 Rudolph Way Greendale IN 47025-8312 Ph: (812) 537-1668 | East Indiana Comprehensive Treatment Center 816 Rudolph Way Greendale IN 47025-8312 Ph: (812) 537-1668 |
| NPI Number | 1780055053 |
|---|---|
| Provider Enumeration Date | 10/13/2015 |
| Last Update Date | 10/13/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780055053 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 081062 (Ohio) | Primary |
Tri-state Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 181 Us Highway 50 E Ste 102, Greendale, IN 47025 Phone: 812-458-5287 Fax: 812-203-4959 |