| The Hope Source Inc. | |
|
5450 Boy Scout Rd Lawrence IN 46226-1317 | |
| (317) 578-0410 | |
| Not Available |
| Full Name | The Hope Source Inc. |
|---|---|
| Speciality | Behavior Analyst |
| Location | 5450 Boy Scout Rd, Lawrence, Indiana |
| Authorized Official Name and Position | Julie Gordon (PRESIDENT) |
| Authorized Official Contact | 3175141838 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The Hope Source Inc. 5450 Boy Scout Rd Lawrence IN 46226-1317 Ph: (317) 578-0410 | The Hope Source Inc. 5450 Boy Scout Rd Lawrence IN 46226-1317 Ph: (317) 578-0410 |
| NPI Number | 1629515176 |
|---|---|
| Provider Enumeration Date | 01/23/2017 |
| Last Update Date | 01/23/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629515176 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103K00000X | Behavior Analyst | (* (Not Available)) | Primary |
Cherishing Lives Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6809 E 52nd Pl, Lawrence, IN 46226 Phone: 317-871-4511 |