Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Icr Adolescents Operating Subsidiary, LLC

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1932058369

Icr Adolescents Operating Subsidiary, LLC is an Adolescent and Children Mental Health Clinic/Center in Mishawaka, Indiana. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

215 W 4th St
Mishawaka, IN 46544-1917
Phone: (574) 544-0207
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Children's Substance Abuse Rehabilitation Facility (primary) Taxonomy 3245S0500X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X
Psychiatric Residential Treatment Facility Taxonomy 323P00000X

Record details

NPI number1932058369
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tara Gurney — Authorized Official · (561) 517-3400
NPI enumeratedJanuary 27, 2026
Last updated in NPPESJuly 10, 2026
Certification dateJuly 10, 2026
Mailing address2925 10th Ave N, Palm Springs, FL 33461-3000

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