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1255075008
INDIANA DETOX LLC
BLOOMINGTON, IN
NPI
1255075008
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Entity Type
Organization
Authorized Contact
CHRISTOPHER FERRY
President
609-202-5669
Organization Subpart ?
No
Primary Taxonomy
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date
2022-04-26
Last Update Date
2022-04-26
Business Address
INDIANA DETOX LLC
2306 W 3RD ST
BLOOMINGTON, IN 47404-5219
Phone number: 609-202-5669
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Mailing Address
INDIANA DETOX LLC
21301 POWERLINE RD STE 311
BOCA RATON, FL 33433-2305
Phone number:
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