NPI 1326790262
Indiana Center for Recovery South Bend, LLC
Practice location
- Address
- 215 W 4th St, Mishawaka, IN 46544-1917
- Phone
- (561) 305-0461
- Mailing address
- 2925 10th Ave N, Palm Springs, FL 33461-3000
Authorised official
- Name
- Kirill Vesselov
- Title
- Ceo
- Phone
- (561) 305-0461
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
- 1326790262
- Entity type
- Organization
- NPI issued
- 21 Jan 2022
- Record last updated
- 2 Sep 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.