Organization · Type 2 NPI
East Indiana Treatment Center, LLC
Methadone Clinic · Greendale, IN
NPI number
1013060714
Active
Practice location
816 Rudolph Way
Greendale, IN 47025-8312
Fax (812) 537-1625
Mailing address
PO Box 682669
Franklin, TN 37068-2669
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | 10780ASR (IN) |
| Methadone Clinic Primary | 261QM2800X | 10780ASR (IN) |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | 10780ASR (IN) |
Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.
23 other providers at this address
- East Indiana Comprehensive Treatment CenterCommunity/Behavioral Health Agency Greendale, IN NPI 1780055053
- Betsy Warner, RNGeneral Practice Registered Nurse Greendale, IN NPI 1184467383
- Brenda GullionLicensed Practical Nurse Greendale, IN NPI 1780139477
- Bridget MaucherAddiction (Substance Use Disorder) Counselor Greendale, IN NPI 1003546433
- Carolyn Richards, RNAddiction (Substance Use Disorder) Registered Nurse Greendale, IN NPI 1750834206
- Ciara Jaden NagelAddiction (Substance Use Disorder) Counselor Greendale, IN NPI 1861198343
- Erin Moll, CADAC IIAddiction (Substance Use Disorder) Counselor Greendale, IN NPI 1861123077
- Hannah Skott FordAddiction (Substance Use Disorder) Counselor Greendale, IN NPI 1104512342
- Hayley StephensonAddiction (Substance Use Disorder) Counselor Greendale, IN NPI 1003547431
- Jamie Lynn BurgessAddiction (Substance Use Disorder) Counselor Greendale, IN NPI 1356072714
- Jesus Diaz-Muniz, MDGeneral Practice Physician Greendale, IN NPI 1144410135
- Josie BressertAddiction (Substance Use Disorder) Counselor Greendale, IN NPI 1821729062
About NPI 1013060714
East Indiana Treatment Center, LLC's National Provider Identifier is 1013060714, issued on Jan 18, 2007. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Greendale, IN. The record was last updated on Apr 7, 2026.