Organization · Type 2 NPI

Icr Adolescents Operating Subsidiary, LLC

Children's Substance Abuse Rehabilitation Facility · Mishawaka, IN

NPI number 1932058369 Active

Practice location

215 W 4th St
Mishawaka, IN 46544-1917

Mailing address

2925 10th Ave N
Palm Springs, FL 33461-3000

Specialties and licenses

Children's 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 children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included.

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About NPI 1932058369

Icr Adolescents Operating Subsidiary, LLC's National Provider Identifier is 1932058369, issued on Jan 27, 2026. The primary taxonomy on file is Children's Substance Abuse Rehabilitation Facility (3245S0500X), and the practice location is in Mishawaka, IN. The record was last updated on Oct 27, 2026.