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Shore Behavioral LLC — NPI 1457022865, Indianapolis, IN | NPI Central

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NPI 1457022865

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Shore Behavioral LLC

NPI 1457022865 · Substance Use Disorder Rehabilitation Clinic/Center · Indianapolis, IN

Provider details

NPI number: 1457022865
Entity type: Organization
Primary specialty: Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Yitzchak Rosedale, President(513) 530-1808

Specialties & taxonomies

Substance Use Disorder Rehabilitation Clinic/CenterPrimary261QR0405X
Ambulatory Health Care Facilities

Practice location

4102 Shore Dr

Indianapolis, IN 46254-2608

Phone: (513) 489-7100

Approximate (ZIP-level) locationGet directions

More IN providers

Mailing address

10123 Alliance Rd

Blue Ash, OH 45242-4887

Other names (DBA / former)

Doing business as: Ethan Crossing Addiction Campus of Indianapolis

Registry dates

Enumerated: 2021-09-24
Last updated: 2025-05-01
Certified: 2025-05-01

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.