Healthcare Provider Details

I. General information

NPI: 1407175557
Provider Name (Legal Business Name): COMMUNITY MENTAL HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2010
Last Update Date: 05/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

427 W EADS PKWY
LAWRENCEBURG IN
47025-1139
US

IV. Provider business mailing address

427 W EADS PKWY
LAWRENCEBURG IN
47025-1139
US

V. Phone/Fax

Practice location:
  • Phone: 812-537-7375
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: CAROLINE E MULLER
Title or Position: STAFF THERAPIST
Credential:
Phone: 812-537-7375