Organization · Type 2 NPI
Icr Operating Subsidiary, LLC
Psychiatric Residential Treatment Facility · Bloomington, IN
Practice location
1004 W 1st St
Bloomington, IN 47403-2208
Mailing address
2925 10th Ave N
Palm Springs, FL 33461-3000
Other practice locations
- 637 S Walker St Ste 2, Bloomington, IN 47403-2175 · (812) 393-5596
- 909 W 1st St, Bloomington, IN 47403-2274 · (812) 393-5596
- 1000 W 1st St, Bloomington, IN 47403-2208 · (812) 393-5596
- 421 W 1st St, Bloomington, IN 47403-2403 · (812) 393-5596
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adolescent and Children Mental Health Clinic/Center | 261QM0855X | None listed |
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | None listed |
| Mental Illness Community Based Residential Treatment Facility | 320800000X | None listed |
| Psychiatric Residential Treatment Facility Primary | 323P00000X | None listed |
| Substance Abuse Rehabilitation Facility | 324500000X | None listed |
Psychiatric Residential Treatment Facility: A residential treatment facility (RTF) is a facility or distinct part of a facility that provides to children and adolescents, a total, twenty-four hour, therapeutically planned group living and learning situation where distinct and individualized psychotherapeutic interventions can take place. Residential treatment is a specific level of care to be differentiated from acute, intermediate, and long-term hospital car…
9 other providers at this address
- David DebruickerSocial Worker Bloomington, IN NPI 1841861986
- Elise Nicole HeadleyClinical Social Worker Bloomington, IN NPI 1073185708
- Itia Gena SaahirSocial Worker Bloomington, IN NPI 1194397083
- Jacqueline Daniels, LCSWClinical Social Worker Bloomington, IN NPI 1205910239
- Leighanne Wolfer, ARNPFamily Nurse Practitioner Bloomington, IN NPI 1760079651
- Lola Isabella Mahner, LCSWClinical Social Worker Bloomington, IN NPI 1457243420
- Michael William Kane, MDPsychiatry Physician Bloomington, IN NPI 1497891840
- Nicole Evonne Kieser, PMHNP-BCPsychiatric/Mental Health Nurse Practitioner Bloomington, IN NPI 1619898228
- Stacia Innamorati, NP-APRNPsychiatric/Mental Health Nurse Practitioner Bloomington, IN NPI 1295617033
Other psychiatric residential treatment facility providers in Bloomington
About NPI 1629928767
Icr Operating Subsidiary, LLC's National Provider Identifier is 1629928767, issued on Jan 29, 2026. The primary taxonomy on file is Psychiatric Residential Treatment Facility (323P00000X), and the practice location is in Bloomington, IN. The record was last updated on Oct 27, 2026.