| The System Of Intervention | |
|
712 Lafayette Ave. Columbus IN 47201-6269 | |
| (812) 371-6044 | |
| (812) 314-4962 |
| Full Name | The System Of Intervention |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 712 Lafayette Ave., Columbus, Indiana |
| Authorized Official Name and Position | Ronald Bridges Ferguson (SECRETARY OF CORPORATION) |
| Authorized Official Contact | 8123716044 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| The System Of Intervention 712 Lafayette Ave. Columbus IN 47201-6269 Ph: (812) 371-6044 | The System Of Intervention 712 Lafayette Ave. Columbus IN 47201-6269 Ph: (812) 371-6044 |
| NPI Number | 1053533133 |
|---|---|
| Provider Enumeration Date | 05/02/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053533133 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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