Organization · Type 2 NPI

Black Pine Real Estate, LLC

Substance Abuse Rehabilitation Facility · Leavenworth, IN

NPI number 1346117595 Active

Practice location

6908 S State Road 66
Leavenworth, IN 47137-8308

Specialties and licenses

TaxonomyCodeLicense
Substance Abuse Rehabilitation Facility Primary 324500000XNone 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.

About NPI 1346117595

Black Pine Real Estate, LLC's National Provider Identifier is 1346117595, issued on Oct 22, 2025. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Leavenworth, IN. The record was last updated on Oct 22, 2025.