| Innovative Interventions, Llc | |
|
9670 E Washington St # S-200 Indianapolis IN 46229-3032 | |
| (317) 890-5722 | |
| (317) 622-1409 |
| Full Name | Innovative Interventions, Llc |
|---|---|
| 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 |
|---|---|
| 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 |
|---|---|
| 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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