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6950 Hillsdale Ct Indianapolis IN 46250-2040 | |
| (317) 621-7583 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 6950 Hillsdale Ct, Indianapolis, Indiana |
| Authorized Official Name and Position | Ed Tschopp (DIRECTOR OF FINANCE) |
| Authorized Official Contact | 3176217583 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
6911 Hillsdale Ct Indianapolis IN 46250-2054 Ph: () - | 6950 Hillsdale Ct Indianapolis IN 46250-2040 Ph: (317) 621-7583 |
| NPI Number | 1447484514 |
|---|---|
| Provider Enumeration Date | 05/05/2009 |
| Last Update Date | 05/05/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447484514 | NPI | - | NPPES |
| 200907960A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 416 (Indiana) | Primary |
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