NPI 1578685160

Childplace, INC.

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Jeffersonville, IN

Practice location

Address: 2420 E 10th St, Jeffersonville, IN 47130-7303
Phone: (812) 282-8248
Fax: (812) 282-3291

Authorised official

Name: Brian G. Davis
Title: Program Supervisor
Phone: (812) 282-8248

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 33428 10-900845 (IN)

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Registry record

NPI: 1578685160
Entity type: Organization
NPI issued: 4 Apr 2007
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.