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

Indiana Center for Recovery Adolescent Program LLC

Organization Adolescent and Children Mental Health Clinic/Center · NPI 1457196735

Indiana Center for Recovery Adolescent Program LLC is an Adolescent and Children Mental Health Clinic/Center in Mishawaka, Indiana. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

215 W 4th St
Mishawaka, IN 46544-1917
Phone: (561) 305-0461
Show map & directions

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 number1457196735
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kirill Vesselov — President · (561) 396-5849
NPI enumeratedJune 27, 2024
Last updated in NPPESJanuary 14, 2026
Certification dateJanuary 14, 2026
Mailing address2925 10th Ave N, Palm Springs, FL 33461-3000

Other providers in Mishawaka