Organization · Type 2 NPI
Spa, Inc.
Substance Abuse Rehabilitation Facility · Elkhart, IN
NPI number
1417428400
Active
Practice location
23221 Old US 20
Elkhart, IN 46516-9772
Fax (574) 742-6118
Mailing address
23221 Old US 20 East
Elkhart, IN 46516-9772
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.
About NPI 1417428400
Spa, Inc.'s National Provider Identifier is 1417428400, issued on Dec 17, 2018. The primary taxonomy on file is Substance Abuse Rehabilitation Facility (324500000X), and the practice location is in Elkhart, IN. The record was last updated on Dec 17, 2018.