| Eastside Preventive & Behavioral Healthcare Clinic | |
|
1605 Warren Lake Ct Indianapolis IN 46229-2290 | |
| (417) 619-2768 | |
| Not Available |
| Full Name | Eastside Preventive & Behavioral Healthcare Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 1605 Warren Lake Ct, Indianapolis, Indiana |
| Authorized Official Name and Position | Delilah Hood (PRESIDENT) |
| Authorized Official Contact | 4176192768 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Preventive & Behavioral Healthcare Clinic 1605 Warren Lake Ct Indianapolis IN 46229-2290 Ph: (417) 619-2768 | Eastside Preventive & Behavioral Healthcare Clinic 1605 Warren Lake Ct Indianapolis IN 46229-2290 Ph: (417) 619-2768 |
| NPI Number | 1104646702 |
|---|---|
| Provider Enumeration Date | 10/16/2024 |
| Last Update Date | 10/16/2024 |
| Certification Date | 10/16/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104646702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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