OrganizationActive
Refuge Clinic, LLC
NPI 1548148752 · Addiction Medicine (Family Medicine) Physician · Crown Point, IN
Provider details
- NPI number
- 1548148752
- Entity type
- Organization
- Primary specialty
- Addiction Medicine (Family Medicine) PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- Nwi Mdvip LLC
- Organization subpart
- Yes
- Authorized official
- Brent Jacobus, Owner Physician(219) 306-0752
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
9150 E 109th Ave Ste 2b
Crown Point, IN 46307-7686
Phone: (219) 213-2947
Fax: (219) 310-8175
Approximate (ZIP-level) locationGet directions
Mailing address
9150 E 109th Ave Ste 2b
Crown Point, IN 46307-7686
Registry dates
- Enumerated
- 2025-08-25
- Last updated
- 2025-08-25
- Certified
- 2025-08-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.