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

TaxonomyCodeLicense
Clinic/Center 261Q00000X10780ASR (IN)
Methadone Clinic Primary 261QM2800X10780ASR (IN)
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X10780ASR (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

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.