NPI 1093664435
Icr South Bend Operating Subsidiary, LLC
Practice location
- Address
- 215 W 4th St, Mishawaka, IN 46544-1917
- Phone
- (574) 544-0207
- Mailing address
- 2925 10th Ave N, Palm Springs, FL 33461-3000
Authorised official
- Name
- Tara Gurney
- Title
- Authorized Official
- Phone
- (561) 517-3400
Registered specialties (5)
Psychiatric Hospital
Primary
Adult Mental Health Clinic/Center
Mental Illness Community Based Residential Treatment Facility
Psychiatric Residential Treatment Facility
Substance Abuse Rehabilitation Facility
Registry record
- NPI
- 1093664435
- Entity type
- Organization
- NPI issued
- 27 Jan 2026
- Record last updated
- 28 May 2026
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.