NPI 1073873493

Addrianne Miles

Practitioner Emotionally Disturbed Childrens' Residential Treatment Facility Muncie, IN

Practice location

Address: 3700 W Kilgore Ave, Muncie, IN 47304-4810
Phone: (765) 289-5437
Fax: (765) 741-5269
Mailing address: 405 S. Morrison Rd. APT. 159, Muncie, IN 47304

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X

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Registry record

NPI: 1073873493
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 May 2012
Record last updated: 18 May 2012

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.