Indiana Mentor | |
8925 N Meridian St Suite 250 Indianapolis IN 46260-2386 | |
(317) 581-2380 | |
(317) 581-2387 |
Full Name | Indiana Mentor |
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Speciality | Community/behavioral Health |
Location | 8925 N Meridian St, Indianapolis, Indiana |
Authorized Official Name and Position | Jeanna R Knight (PROGRAM SUPERVISOR) |
Authorized Official Contact | 3175812380 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Indiana Mentor 8925 N Meridian St Suite 250 Indianapolis IN 46260-2386 Ph: (317) 581-2380 | Indiana Mentor 8925 N Meridian St Suite 250 Indianapolis IN 46260-2386 Ph: (317) 581-2380 |
NPI Number | 1093027179 |
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Provider Enumeration Date | 07/06/2010 |
Last Update Date | 07/06/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093027179 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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