Organization · Type 2 NPI

Pinnacle Treatment Centers In-Iii, LLC

Methadone Clinic · Kokomo, IN

NPI number 1194581769 Active

Practice location

2906 S Reed Rd
Kokomo, IN 46902-3991

Call (765) 588-2010 Map

Mailing address

1317 Route 73 Ste 200
Mount Laurel, NJ 08054-2202

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency	251S00000X	None listed
Methadone Clinic Primary	261QM2800X	None listed
Substance Use Disorder Rehabilitation Clinic/Center	261QR0405X	None listed

Methadone Clinic: An entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction.

NPI record

NPI: 1194581769
Entity type: Organization (Type 2)
Issued: Feb 22, 2024
Last updated: Sep 10, 2026
Status: Active

Other names

<unavail>
Kokomo Treatment Services · doing business as
Kokomo Treatment Services · doing business as

Authorized official

Robyn Tanis
Executive Director of Contract MGMT
(856) 533-8762

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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 1194581769

Pinnacle Treatment Centers In-Iii, LLC's National Provider Identifier is 1194581769, issued on Feb 22, 2024. The primary taxonomy on file is Methadone Clinic (261QM2800X), and the practice location is in Kokomo, IN. The record was last updated on Sep 10, 2026.