NPI Index

ICR ADOLESCENTS OPERATING SUBSIDIARY, LLC

Clinic/Center - Adolescent and Children Mental Health

Active Organization
NPI: 1932058369

Practice Address

215 W 4TH ST
Mishawaka, IN 46544

Phone: (305) 361-9115

Specialties

Specialty Code Primary License
Clinic/Center - Rehabilitation, Substance Use Disorder 261QR0405X No -
Substance Abuse Rehabilitation Facility - Substance Abuse Treatment, Children 3245S0500X No -
Clinic/Center - Adolescent and Children Mental Health 261QM0855X Yes -

Frequently Asked Questions

NPI 1932058369 is the National Provider Identifier for ICR ADOLESCENTS OPERATING SUBSIDIARY, LLC, a Clinic/Center - Adolescent and Children Mental Health provider located in Mishawaka, IN. This NPI was enumerated on January 27, 2026.

Quick Facts

NPI
1932058369
Type
Organization
Enumerated
Jan 27, 2026
Last Updated
Jan 27, 2026

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