OrganizationActive
Shore Behavioral LLC
NPI 1053080663 · Substance Use Disorder Rehabilitation Clinic/Center · Indianapolis, IN
Provider details
- NPI number
- 1053080663
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Isaac Rosedale, President(513) 489-7100
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4102 Shore Dr
Indianapolis, IN 46254-2608
Phone: (513) 489-7100
Approximate (ZIP-level) locationGet directions
Mailing address
4700 Ashwood Dr Ste 200
Blue Ash, OH 45241-2424
Registry dates
- Enumerated
- 2021-09-08
- Last updated
- 2021-09-08
- Certified
- 2021-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.