NPI 1356671192

Sequel Tsi of Indiana, LLC

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Lexington, IN

Practice location

Address: 2426 S Parker Ln, Lexington, IN 47138-8561
Phone: (812) 889-3992
Fax: (812) 889-3990

Authorised official

Name: John Stupak
Title: President
Phone: (267) 419-8913

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1356671192
Entity type: Organization
NPI issued: 29 Dec 2009
Record last updated: 29 Dec 2009

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.