OrganizationActive
Avenues Recovery Center at South Bend LLC
NPI 1780440131 · Substance Abuse Rehabilitation Facility · Mishawaka, IN
Provider details
- NPI number
- 1780440131
- Entity type
- Organization
- Primary specialty
- Substance Abuse Rehabilitation FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Hudi Alter, Ceo(732) 967-2635
Specialties & taxonomies
Residential Treatment Facilities
Ambulatory Health Care Facilities
Practice location
60205 Bodnar Blvd
Mishawaka, IN 46544-9342
Phone: (732) 967-2635
Approximate (ZIP-level) locationGet directions
Mailing address
1600 Avenue of the States Ste 700
Lakewood, NJ 08701-4909
Registry dates
- Enumerated
- 2024-02-23
- Last updated
- 2026-05-07
- Certified
- 2026-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.