OrganizationActive
Indiana Center for Recovery, LLC
NPI 1295276160 · Psychiatric Residential Treatment Facility · Bloomington, IN
Provider details
- NPI number
- 1295276160
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Kirill Vesselov, President(561) 461-3791
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care Facilities
Residential Treatment Facilities
Residential Treatment Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Practice location
1004 W 1st Street
Bloomington, IN 47403
Phone: (561) 461-3791
Fax: (888) 516-3613
Approximate (ZIP-level) locationGet directions
Mailing address
1004 W 1st Street
Bloomington, IN 47403
Additional practice locations (4)
- 909 W 1st StBloomington, IN 47403-2274Phone: (812) 822-2510
- 1000 W 1st StBloomington, IN 47403-2208Phone: (812) 822-2510
- 421 W 1st StBloomington, IN 47403-2403Phone: (561) 461-3791
- 637 S Walker St Ste 2Bloomington, IN 47403-2175Phone: (561) 461-3791
Registry dates
- Enumerated
- 2017-03-13
- Last updated
- 2025-04-30
- Certified
- 2025-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.