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EAST INDIANA COMPREHENSIVE TREATMENT CENTER
NPI 1780055053
Community/Behavioral Health in Greendale, IN

Active since October 13, 2015CLIA 15D1045758 · Waiver
816 RUDOLPH WAY, GREENDALE, IN 47025(812) 537-1668(812) 537-9173 Get Directions Write a Review

NPPES record last updated: October 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About East Indiana Comprehensive Treatment Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST INDIANA COMPREHENSIVE TREATMENT CENTER (NPI 1780055053) is a healthcare organization registered as a community/behavioral health in Greendale, Indiana and active in the NPI registry since October 2015. The organization holds a CLIA Waiver certificate valid through September 21, 2027 and lists Ivy Rufina Voynovich, Clinical Supervisor, as its authorized official.

NPPES Registry Identity

NPI1780055053
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameEAST INDIANA COMPREHENSIVE TREATMENT CENTER
Location Address816 RUDOLPH WAYGreendale, IN 47025-8312
Mailing Address816 Rudolph WayGreendale, IN 47025-8312 · (812) 537-1668 · Fax (812) 537-9173
Phone(812) 537-1668
Fax(812) 537-9173
Organization SubpartYesParent: Acadia Health Care
Authorized OfficialIvy Rufina VoynovichClinical Supervisor · (812) 537-1668
Enumeration DateOctober 13, 2015
✔ NPI 1780055053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in OH · 081062
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
816 RUDOLPH WAY, Greendale, IN 47025
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D1045758

East Indiana Comprehensive Treatment Center · Lawrenceburg, IN
Active · expires Sep 21, 2027
CLIA Number15D1045758
Laboratory TypeComp. Outpatient Rehab Facility
Certificate Effective DateSeptember 22, 2025
Certificate Expiration DateSeptember 21, 2027
Laboratory DirectorLaura Kenny
Laboratory Phone(812) 537-1668
Laboratory LocationEast Indiana Comprehensive Treatment Center816 Rudolph Way, Lawrenceburg, IN 47025
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BRIDGET MAUCHER
Counselor (Addiction (Substance Use Disorder))
816 RUDOLPH WAY
GREENDALE, IN 47025
Dearborn County (812) 537-1668
HAYLEY STEPHENSON
Counselor (Addiction (Substance Use Disorder))
816 RUDOLPH WAY
GREENDALE, IN 47025
Dearborn County (812) 537-1668
EAST INDIANA TREATMENT CENTER, LLC
Clinic/Center (Methadone)
816 RUDOLPH WAY
GREENDALE, IN 47025
Dearborn County (812) 537-1668
MENDI S SLONE
Counselor (Addiction (Substance Use Disorder))
816 RUDOLPH WAY
GREENDALE, IN 47025
Dearborn County (812) 537-1668
JOYCE SUE SMALL
Counselor (Addiction (Substance Use Disorder))
816 RUDOLPH WAY
LAWRENCEBURG, IN 47025
Dearborn County (812) 847-3741
HANNAH SKOTT FORD
Counselor (Addiction (Substance Use Disorder))
816 RUDOLPH WAY
GREENDALE, IN 47025
Dearborn County (812) 537-1668
DR. JESUS DIAZ-MUNIZ MD
General Practice
816 RUDOLPH WAY
GREENDALE, IN 47025
Dearborn County (812) 537-1668
BETSY WARNER RN
Registered Nurse (General Practice)
816 RUDOLPH WAY
GREENDALE, IN 47025
Dearborn County (812) 537-1668

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is East Indiana Comprehensive Treatment Center's NPI number?

The NPI number for East Indiana Comprehensive Treatment Center is 1780055053. It was assigned to this organization in the NPPES registry on October 13, 2015.

Where is East Indiana Comprehensive Treatment Center located?

East Indiana Comprehensive Treatment Center is located at 816 Rudolph Way, Greendale, IN 47025. The listed phone number is (812) 537-1668.

What is East Indiana Comprehensive Treatment Center's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

Does East Indiana Comprehensive Treatment Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D1045758) is associated with this NPI, valid through September 21, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for East Indiana Comprehensive Treatment Center was last updated on October 13, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.