OrganizationActive
Blackbird Clinical Services, LLC
NPI 1164669255 · Public Health or Welfare Agency · Lafayette, IN
Provider details
- NPI number
- 1164669255
- Entity type
- Organization
- Primary specialty
- Public Health or Welfare AgencyAgencies
- Organization subpart
- No
- Authorized official
- Kimi Hathaway, President/ Ceo(765) 447-8700
Specialties & taxonomies
Agencies
Practice location
2 Executive Dr Ste D
Lafayette, IN 47905-4878
Phone: (765) 447-8700
Approximate (ZIP-level) locationGet directions
Mailing address
2 Executive Dr Ste D
Lafayette, IN 47905-4878
Registry dates
- Enumerated
- 2009-01-12
- Last updated
- 2009-01-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.