NPI 1518060912
State of Indiana, Auditor of State
Practice location
- Address
- 498 NW 18th St, Richmond, IN 47374-2851
- Phone
- (765) 966-0511
- Fax
- (765) 935-9507
Authorised official
- Name
- Jeffrey Butler
- Title
- Superintendent
- Phone
- (765) 966-0511
Registered specialties
Psychiatric Hospital
Primary
Registry record
- NPI
- 1518060912
- Entity type
- Organization
- NPI issued
- 7 Sep 2006
- Record last updated
- 22 Aug 2020
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.