BETHLEHEM HOUSE RESIDENCE INC NPI 1962779389

NPI Information

BETHLEHEM HOUSE RESIDENCE, INC is a rehabilitation and substance use disorder clinic center in Indianapolis, IN. BETHLEHEM HOUSE RESIDENCE, INC NPI is 1962779389. The provider is registered as an organization entity type.
The provider Is Doing Business As The Bethlehem Hosue.

The provider's business location address is:

130 E 30TH ST
INDIANAPOLIS, IN
ZIP 46205-904
Phone: (317) 920-1519
Fax: (317) 920-1515

The provider's authorized official is Nathan L Rush .
The authorized official title is Executive Director and has the following contact phone number (317) 920-1519.

The enumeration date for this NPI number is 11/30/2011 and was last updated on 11/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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