OrganizationActive
Madison Center, Inc.
NPI 1104974989 · Psychiatric Residential Treatment Facility · South Bend, IN
Provider details
- NPI number
- 1104974989
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Madison Center, Inc.
- Organization subpart
- Yes
- Authorized official
- Brenda Clanton, Contracts Manager(574) 283-1107
- License
- 406-1-PIP (IN)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
403 E Madison St
South Bend, IN 46617-2322
Phone: (574) 231-0061
Fax: (574) 283-1209
Approximate (ZIP-level) locationGet directions
Mailing address
403 E Madison St
South Bend, IN 46617-2322
Registry dates
- Enumerated
- 2007-01-08
- Last updated
- 2010-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.