Provider Demographics
NPI:1588484323
Name:HARSHA RECOVERY CENTER, LLC
Entity type:Organization
Organization Name:HARSHA RECOVERY CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:MS
Authorized Official - First Name:HOLLY
Authorized Official - Middle Name:
Authorized Official - Last Name:NEAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:812-298-8888
Mailing Address - Street 1:1980 E WOODSMALL DR
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47802-4937
Mailing Address - Country:US
Mailing Address - Phone:812-298-8888
Mailing Address - Fax:812-231-5227
Practice Address - Street 1:8253 VIRGINIA ST
Practice Address - Street 2:
Practice Address - City:MERRILLVILLE
Practice Address - State:IN
Practice Address - Zip Code:46410-6291
Practice Address - Country:US
Practice Address - Phone:812-298-8888
Practice Address - Fax:812-231-5227
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-16
Last Update Date:2024-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes323P00000XResidential Treatment FacilitiesPsychiatric Residential Treatment Facility
No2084A0401XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyAddiction MedicineGroup - Multi-Specialty
No320800000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Mental Illness