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8328 Masters Rd Indianapolis IN 46250-1538 | |
| (317) 436-7080 | |
| (317) 436-7225 |
| Full Name | |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 8328 Masters Rd, Indianapolis, Indiana |
| Authorized Official Name and Position | Kelsey Marisa Pumel (FOUNDER, PREESIDENT & CEO) |
| Authorized Official Contact | 3174367080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8328 Masters Rd Indianapolis IN 46250-1538 Ph: (317) 436-7080 | 8328 Masters Rd Indianapolis IN 46250-1538 Ph: (317) 436-7080 |
| NPI Number | 1083067078 |
|---|---|
| Provider Enumeration Date | 07/14/2016 |
| Last Update Date | 07/14/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083067078 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1-06-2999 (Indiana) | Primary |
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