OrganizationActive
East Indiana Recovery, LLC
NPI 1013418599 · Addiction Medicine (Family Medicine) Physician · Richmond, IN
Provider details
- NPI number
- 1013418599
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Paul Kolodzik, Owner(937) 825-6220
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
1528 Nw 5th St
Richmond, IN 47374-1844
Phone: (937) 416-5442
Fax: (765) 935-0073
Approximate (ZIP-level) locationGet directions
Mailing address
117 S Dixie Dr Ste 3
Vandalia, OH 45377-2142
Registry dates
- Enumerated
- 2018-02-21
- Last updated
- 2018-02-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.