OrganizationActive
Bloomington Meadows Gp -
NPI 1417968595 · Psychiatric Residential Treatment Facility · Bloomington, IN
Provider details
- NPI number
- 1417968595
- Entity type
- Organization
- Primary specialty
- Psychiatric Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Becky Nyberg, Cfo(812) 331-8000
- License
- 278652298 (IN)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
3600 N Prow Rd
Bloomington, IN 47404-1616
Phone: (812) 331-8000
Fax: (812) 331-8985
Approximate (ZIP-level) locationGet directions
Mailing address
3600 N Prow Rd
Bloomington, IN 47404-1616
Registry dates
- Enumerated
- 2006-08-11
- Last updated
- 2011-01-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.