Whalio Doctors

NPI 1295276160

Indiana Center for Recovery, LLC

Organisation Psychiatric Residential Treatment Facility Bloomington, IN

Practice location

Address
1004 W 1st Street, Bloomington, IN 47403
Phone
(561) 461-3791
Fax
(888) 516-3613

Authorised official

Name
Kirill Vesselov
Title
President
Phone
(561) 461-3791

Registered specialties (5)

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X
Mental Illness Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320800000X
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X Licence 1759-0ASO (IN)
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1295276160
Entity type
Organization
NPI issued
13 Mar 2017
Record last updated
30 Apr 2025

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.