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

Indiana Center for Recovery Outpatient Services LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1346949088

Indiana Center for Recovery Outpatient Services LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Fort Wayne, Indiana. Registered with an NPI since 2023.

In the registry since
2023
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

7900 W Jefferson Blvd
Fort Wayne, IN 46804-4128
Phone: (561) 635-2400
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X
Substance Abuse Rehabilitation Facility Taxonomy 324500000X

Record details

NPI number1346949088
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIndiana Center for Recovery Outpatient Services LLC
Authorized official Kirill Vesselov — President · (561) 305-0461
NPI enumeratedMarch 2, 2023
Last updated in NPPESDecember 14, 2023
Certification dateDecember 14, 2023
Mailing address2925 10th Ave N, Palm Springs, FL 33461-3000

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