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5401 S East St Suite 205-c Indianapolis IN 46227-2064 | |
| (317) 412-9737 | |
| (317) 489-6089 |
| Full Name | |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 5401 S East St, Indianapolis, Indiana |
| Authorized Official Name and Position | Robin Denise Cruz (EXECUTIVE DIRECTOR/OWNER) |
| Authorized Official Contact | 3174129737 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
5401 S East St Suite 205-c Indianapolis IN 46227-2064 Ph: (317) 412-9737 | 5401 S East St Suite 205-c Indianapolis IN 46227-2064 Ph: (317) 412-9737 |
| NPI Number | 1952790354 |
|---|---|
| Provider Enumeration Date | 01/22/2015 |
| Last Update Date | 01/26/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952790354 | NPI | - | NPPES |
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