NPI 1073993002

Rite of Passage, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility South Bend, IN

Practice location

Address: 1000 S Michigan St, South Bend, IN 46601-3426
Phone: (574) 339-4419
Mailing address: 2560 Business Pkwy Suite a, Minden, NV 89423-8985

Authorised official

Name: Carolyn Jenkins-Bower
Title: Cfo
Phone: (775) 267-9411

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1073993002
Entity type: Organization
NPI issued: 4 Jun 2015
Record last updated: 4 Jun 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.