Provider Demographics
NPI:1730494360
Name:RESOURCE COMMUNITY BASED SERVICES INC
Entity Type:Organization
Organization Name:RESOURCE COMMUNITY BASED SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:B
Authorized Official - Last Name:HURD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-630-5215
Mailing Address - Street 1:1404 S STATE AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46203-2009
Mailing Address - Country:US
Mailing Address - Phone:317-630-5215
Mailing Address - Fax:317-630-5223
Practice Address - Street 1:1404 S STATE AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46203-2009
Practice Address - Country:US
Practice Address - Phone:317-630-5215
Practice Address - Fax:317-630-5223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-06
Last Update Date:2010-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children