Organization · Type 2 NPI

Berd Dynasty LLC

Substance Abuse Rehabilitation Facility · Indianapolis, IN

NPI number 1083371504 Active

Practice location

3208 N Sherman Dr
Indianapolis, IN 46218-2173

Fax (317) 653-1001

Specialties and licenses

Taxonomy	Code	License
Substance Abuse Rehabilitation Facility Primary	324500000X	None listed

Substance Abuse Rehabilitation Facility: A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.

2 other providers at this address

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NPI record

NPI: 1083371504
Entity type: Organization (Type 2)
Issued: Nov 18, 2021
Last updated: Jun 8, 2023
Status: Active

Other names

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Fresh Start Treatment Facility · doing business as
Fresh Start Treatment Facility · doing business as

Authorized official

Carlos Darden
Owner
(317) 653-1033

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1083371504

Berd Dynasty LLC's National Provider Identifier is 1083371504, issued on Nov 18, 2021. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Indianapolis, IN. The record was last updated on Jun 8, 2023.