Wts Icf | |
11075 N Pennsylvania St Indianapolis IN 46280-1091 | |
(502) 394-2100 | |
Not Available |
Full Name | Wts Icf |
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Speciality | Community/behavioral Health |
Location | 11075 N Pennsylvania St, Indianapolis, Indiana |
Authorized Official Name and Position | Deena G. Ombres (ASSOC. GEN. COUNSEL/PRIVACY OFFICER) |
Authorized Official Contact | 5023942100 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Wts Icf 9901 Linn Station Rd Louisville KY 40223-3808 Ph: () - | Wts Icf 11075 N Pennsylvania St Indianapolis IN 46280-1091 Ph: (502) 394-2100 |
NPI Number | 1376980953 |
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Provider Enumeration Date | 05/23/2013 |
Last Update Date | 05/23/2013 |
Identifier | Type | State | Issuer |
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1376980953 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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