Basic Information
| Provider Information | |||||||||
| NPI: | 1891966065 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HARSHA BEHAVIORAL CENTER, INC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1420 E CROSSING BLVD | ||||||||
| Address2: | |||||||||
| City: | TERRE HAUTE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 478025316 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8122988888 | ||||||||
| FaxNumber: | 8122315205 | ||||||||
| Practice Location | |||||||||
| Address1: | 1980 E WOODSMALL DR | ||||||||
| Address2: | |||||||||
| City: | TERRE HAUTE | ||||||||
| State: | IN | ||||||||
| PostalCode: | 478024937 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8122988888 | ||||||||
| FaxNumber: | 8122315205 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/17/2008 | ||||||||
| LastUpdateDate: | 04/26/2019 | ||||||||
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| AuthorizedOfficialLastName: | NEAR | ||||||||
| AuthorizedOfficialFirstName: | HOLLY | ||||||||
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| AuthorizedOfficialTitleorPosition: | CAO | ||||||||
| AuthorizedOfficialTelephone: | 8122315222 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 283Q00000X | Y | Hospitals | Psychiatric Hospital |
No ID Information.