| Icr Outpatient Operating Subsidiary, Llc | |
|
135 Hospital Ln Terre Haute IN 47802-4247 | |
| (812) 645-3895 | |
| Not Available |
| Full Name | Icr Outpatient Operating Subsidiary, Llc |
|---|---|
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
| Location | 135 Hospital Ln, Terre Haute, Indiana |
| Authorized Official Name and Position | Tara Gurney (AUTHORIZED OFFICIAL) |
| Authorized Official Contact | 5615173400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Icr Outpatient Operating Subsidiary, Llc 2925 10th Ave N Palm Springs FL 33461-3000 Ph: () - | Icr Outpatient Operating Subsidiary, Llc 135 Hospital Ln Terre Haute IN 47802-4247 Ph: (812) 645-3895 |
| NPI Number | 1568311900 |
|---|---|
| Provider Enumeration Date | 01/27/2026 |
| Last Update Date | 05/28/2026 |
| Certification Date | 05/28/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568311900 | NPI | - | NPPES |
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