OrganizationActive
Icr Outpatient Operating Subsidiary, LLC
NPI 1568311900 · Mental Illness Community Based Residential Treatment Facility · Terre Haute, IN
Provider details
- NPI number
- 1568311900
- Entity type
- Organization
- Primary specialty
- Mental Illness Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Tara Gurney, Authorized Official(561) 517-3400
Specialties & taxonomies
Residential Treatment Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
- Substance Abuse Rehabilitation Facility324500000X
Residential Treatment Facilities
Practice location
135 Hospital Ln
Terre Haute, IN 47802-4247
Phone: (812) 645-3895
Approximate (ZIP-level) locationGet directions
Mailing address
2925 10th Ave N
Palm Springs, FL 33461-3000
Additional practice locations (5)
- 14555 Hazel Dell PkwyCarmel, IN 46033-7000Phone: (812) 645-3895
- 7900 W Jefferson Blvd Ste 300Fort Wayne, IN 46804-4128Phone: (812) 645-3895
- 601 N Shore DrJeffersonville, IN 47130-3142Phone: (812) 645-3895
- 2529 Schuyler Ave Ste 700Lafayette, IN 47905-3982Phone: (812) 645-3895
- 1578 E 85th AveMerrillville, IN 46410-8900Phone: (812) 645-3895
Registry dates
- Enumerated
- 2026-01-27
- Last updated
- 2026-05-28
- Certified
- 2026-05-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.