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NPI Code Detail

MEDICARE: LAWRENCE RECOVERY LLC

MEDICARE: LAWRENCE RECOVERY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
2261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
3324500000XSubstance Abuse Rehabilitation Facility

General Provider Information

NPI Number : 1659913739
Entity Type Code : Organization
Provider Name (Legal Business Name) : LAWRENCE RECOVERY LLC
Provider Business Mailing Address
First Line : 3960 SOUTHEASTERN AVE STE 105
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46203-1571
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8935 E 46TH ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46226-4125
Country : US
Telephone Number : 317-898-1515
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. MOSHE ORLINSKY
Credential :
Telephone Number : 317-341-5141
Provider Enumeration Date : 10/10/2019
Last Update Date : 04/23/2025

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