| Community Fairbanks Behavioral Health | |
|
1405 N Ritter Ave Indianapolis IN 46219-3041 | |
| (317) 355-3401 | |
| Not Available |
| Full Name | Community Fairbanks Behavioral Health |
|---|---|
| Speciality | Clinic/center |
| Location | 1405 N Ritter Ave, Indianapolis, Indiana |
| Authorized Official Name and Position | Ramarao Yeleti (MD, EVP) |
| Authorized Official Contact | 3176219002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Community Fairbanks Behavioral Health 1405 N Ritter Ave Indianapolis IN 46219-3041 Ph: (317) 355-3104 | Community Fairbanks Behavioral Health 1405 N Ritter Ave Indianapolis IN 46219-3041 Ph: (317) 355-3401 |
| NPI Number | 1245769645 |
|---|---|
| Provider Enumeration Date | 06/08/2017 |
| Last Update Date | 06/02/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245769645 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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