| Community Behavioral Professionals | |
|
7250 Clearvista Drive Suite 227 Indianapolis IN 46256-5600 | |
| (317) 621-7804 | |
| Not Available |
| Full Name | Community Behavioral Professionals |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 7250 Clearvista Drive, Indianapolis, Indiana |
| Authorized Official Name and Position | Jeffery Kirkham (CFO) |
| Authorized Official Contact | 3173555822 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Behavioral Professionals 6626 E 75th Street Ste 500 Indianapolis IN 46250-2890 Ph: () - | Community Behavioral Professionals 7250 Clearvista Drive Suite 227 Indianapolis IN 46256-5600 Ph: (317) 621-7804 |
| NPI Number | 1922336262 |
|---|---|
| Provider Enumeration Date | 11/25/2009 |
| Last Update Date | 04/16/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922336262 | NPI | - | NPPES |
| 200971590 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (Indiana) | Primary |
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