Whalio Doctors

NPI 1457819195

The Breakaway Corp

Organisation Substance Abuse Rehabilitation Facility New Albany, IN

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
Residential Treatment Facilities Taxonomy 324500000X

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.