NPI 1457819195
The Breakaway Corp
Practice location
- Address
- 1514 E Spring St, New Albany, IN 47150-2844
- Phone
- (812) 941-4177
Authorised official
- Name
- Michelle M Cochran
- Title
- Board Member
- Phone
- (502) 664-7987
Registered specialties
Substance Abuse Rehabilitation Facility
Primary
Registry record
- NPI
- 1457819195
- Entity type
- Organization
- NPI issued
- 12 Mar 2019
- Record last updated
- 12 Mar 2019
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.