Healthcare Provider Details

I. General information

NPI: 1508772690
Provider Name (Legal Business Name): 8530 TOWNSHIP LINE ROAD OPCO LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/20/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8530 TOWNSHIP LINE RD
INDIANAPOLIS IN
46260-1927
US

IV. Provider business mailing address

PO BOX 200303
PITTSBURGH PA
15251-0303
US

V. Phone/Fax

Practice location:
  • Phone: 610-994-2900
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: GREG ZIEGLER
Title or Position: VP, REVENUE CYCLE OPERATIONS
Credential:
Phone: 610-994-2900