| Circle City Iop | |
|
6235 Carrollton Ave Ste B Indianapolis IN 46220-1924 | |
| (310) 595-4905 | |
| Not Available |
| Full Name | Circle City Iop |
|---|---|
| Speciality | Clinic/center - Rehabilitation, Substance Use Disorder |
| Location | 6235 Carrollton Ave Ste B, Indianapolis, Indiana |
| Authorized Official Name and Position | Charles Bentz (MANAGING PARTNER) |
| Authorized Official Contact | 3105954905 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Circle City Iop 6235 Carrollton Ave Ste B Indianapolis IN 46220-1924 Ph: (310) 595-4905 | Circle City Iop 6235 Carrollton Ave Ste B Indianapolis IN 46220-1924 Ph: (310) 595-4905 |
| NPI Number | 1285251421 |
|---|---|
| Provider Enumeration Date | 07/04/2020 |
| Last Update Date | 04/13/2023 |
| Certification Date | 04/13/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285251421 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Secondary |
| 261QR0405X | Clinic/center - Rehabilitation, Substance Use Disorder | (* (Not Available)) | Primary |
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