NPI Provider: 1376549410
Contact Name: Ellicott M. Aileen
Position: Administrator/President
Phone: (219) 736-5718
Residential Clinical Services, Inc. Information:
Residential Clinical Services, Inc. organization have npi 1376549410, taxonomy code is 251E00000X with license number is 157345 in . This Business address located in 103 W 78th Pl, Merrillville, IN 46410 Indiana.
Practice Location
Address: 103 W 78th Pl, Merrillville, IN 46410
Phone: (219) 736-5718
Business Location
Address: 103 W 78th Pl, Merrillville, IN 46410
Phone: (219) 736-5718
Fax: (219) 736-5720
Taxonomy
Taxonomy Code: 251E00000X
License Number: 157345
License Number of State: IN
Primary Taxonomy Switch: Y
Enumeration Date: 6/23/2005
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