OrganizationActive
Life Treatment Centers
NPI 1437444692 · Substance Abuse Rehabilitation Facility · South Bend, IN
Provider details
- NPI number
- 1437444692
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- David Nowak, Ceo(574) 233-5433
- License
- 806-0-ASR (IN)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1402 S Michigan St
South Bend, IN 46613-2214
Phone: (574) 233-5433
Fax: (574) 239-6407
Approximate (ZIP-level) locationGet directions
Mailing address
1402 S Michigan St
South Bend, IN 46613-2214
Registry dates
- Enumerated
- 2011-06-16
- Last updated
- 2011-06-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.