Whalio Doctors

NPI 1629928767

Icr Operating Subsidiary, LLC

Organisation Psychiatric Residential Treatment Facility Bloomington, IN

Practice location

Address
1004 W 1st St, Bloomington, IN 47403-2208
Phone
(812) 393-5596
Mailing address
2925 10th Ave N, Palm Springs, FL 33461-3000

Authorised official

Name
Tara Gurney
Title
Authorized Official
Phone
(561) 517-3400

Registered specialties (4)

Psychiatric Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 323P00000X
Substance Use Disorder Rehabilitation Clinic/Center
Ambulatory Health Care Facilities Taxonomy 261QR0405X
Mental Illness Community Based Residential Treatment Facility
Residential Treatment Facilities Taxonomy 320800000X
Substance Abuse Rehabilitation Facility
Residential Treatment Facilities Taxonomy 324500000X

Registry record

NPI
1629928767
Entity type
Organization
NPI issued
29 Jan 2026
Record last updated
28 May 2026

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.