Innovative Interventions, Llc | |
9670 E Washington St # S-200 Indianapolis IN 46229-3032 | |
(317) 890-5722 | |
(317) 622-1409 |
Full Name | Innovative Interventions, Llc |
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Speciality | Community/behavioral Health |
Location | 9670 E Washington St # S-200, Indianapolis, Indiana |
Authorized Official Name and Position | Debra D Dineff (CEO) |
Authorized Official Contact | 3178905722 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Innovative Interventions, Llc 9670 E Washington St # S-200 Indianapolis IN 46229-3032 Ph: (317) 890-5722 | Innovative Interventions, Llc 9670 E Washington St # S-200 Indianapolis IN 46229-3032 Ph: (317) 890-5722 |
NPI Number | 1023180387 |
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Provider Enumeration Date | 11/14/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023180387 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | 20040887A (Indiana) | Primary |
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