A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Substance Abuse Disorder Rehabilitation Facility |
324500000X | |||
Rehabilitation, Substance Use Disorder |
261QR0405X | |||
Substance Abuse Treatment, Children |
3245S0500X |
| NPI Number | 1295411817 |
| LBN Legal business name | SPARK RECOVERY OF INDIANA |
| Authorized official | YERUCHEM BIDERMAN - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 06/27/2023 |
| Last updated | 10/27/2025 - About 7 months ago |
| Identifiers | n/a |
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