NPI | 1790286300 |
---|---|
Doing Business As | WESTERN INDIANA RECOVERY SERVICES |
Entity Type | Organization |
Authorized Contact | MEL BURKS CEO 812-231-8296 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
Enumeration Date | 2018-02-28 |
Last Update Date | 2018-02-28 |