OrganizationActive
Indiana Detox LLC
NPI 1255075008 · Substance Abuse Rehabilitation Facility · Bloomington, IN
Provider details
- NPI number
- 1255075008
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Christopher Ferry, President(812) 605-5619
Specialties & taxonomies
Residential Treatment Facilities
Practice location
2306 W 3rd St
Bloomington, IN 47404-5219
Phone: (812) 605-5619
Approximate (ZIP-level) locationGet directions
Mailing address
2306 W 3rd St
Bloomington, IN 47404-5219
Registry dates
- Enumerated
- 2022-04-26
- Last updated
- 2025-09-08
- Certified
- 2025-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.