OrganizationActive
Black Pine Real Estate, LLC
NPI 1346117595 · Substance Abuse Rehabilitation Facility · Leavenworth, IN
Provider details
- NPI number
- 1346117595
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Daniel Klotz, Owner(812) 287-2032
Specialties & taxonomies
Residential Treatment Facilities
Practice location
6908 S State Road 66
Leavenworth, IN 47137-8308
Phone: (812) 287-2032
Approximate (ZIP-level) locationGet directions
Mailing address
6908 S State Road 66
Leavenworth, IN 47137-8308
Registry dates
- Enumerated
- 2025-10-22
- Last updated
- 2025-10-22
- Certified
- 2025-10-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.