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General NPI Number Information
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NPI Number | 1033108766
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Entity Type | Organization
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Legal Business Name | SOUTHWESTERN BEHAVIORAL HEALTHCARE, INC.
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Dates
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Enumeration Date | 10/15/2005
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Last Update Date | 11/04/2020
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Provider Practice Location Address
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Address Line | 415 MULBERRY ST
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City | EVANSVILLE
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State | IN
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Zip | 47713-1230
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Country | US
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Telephone | 812-423-7791
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Fax | 812-422-7558
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Provider Business Mailing Address
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Address Line | 415 MULBERRY ST
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City | EVANSVILLE
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State | IN
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Zip | 47713-1230
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Country | US
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Telephone | 812-423-7791
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Fax | 812-422-7558
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Authorized Official
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Title or Position | CEO
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Name | KATHRYN ADAMS
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Credential |
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Telephone | 812-423-7791
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | IN
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