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Icr South Bend Operating Subsidiary, LLC — NPI 1093664435, Mishawaka, IN | NPI Central

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NPI 1093664435

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Icr South Bend Operating Subsidiary, LLC

NPI 1093664435 · Psychiatric Hospital · Mishawaka, IN

Provider details

NPI number: 1093664435
Entity type: Organization
Primary specialty: Psychiatric HospitalHospitals
Authorized official: Tara Gurney, Authorized Official

Practice location

215 W 4th St

Mishawaka, IN 46544-1917

Phone: (574) 544-0207

More IN providers

Mailing address

2925 10th Ave N

Palm Springs, FL 33461-3000

Registry dates

Enumerated: 2026-01-27
Last updated: 2026-05-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.