Organization · Type 2 NPI
Bethlehem House Residence, Inc
Substance Use Disorder Rehabilitation Clinic/Center · Indianapolis, IN
NPI number
1962779389
Active
Practice location
130 E 30th St
Indianapolis, IN 46205-3904
Fax (317) 920-1515
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Substance Use Disorder Rehabilitation Clinic/Center Primary | 261QR0405X | None listed |
| Non-emergency Medical Transport (VAN) | 343900000X | None listed |
| Private Vehicle | 347C00000X | None listed |
Substance Use Disorder Rehabilitation Clinic/Center: Definition to come...
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About NPI 1962779389
Bethlehem House Residence, Inc's National Provider Identifier is 1962779389, issued on Nov 30, 2011. The primary taxonomy on file is Substance Use Disorder Rehabilitation Clinic/Center (261QR0405X), and the practice location is in Indianapolis, IN. The record was last updated on Nov 30, 2011.