# REACH FOR YOUTH

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396070462
- **Authorized official:** MISS SHAYONA JANEE DAVIS MSW (COUNSELOR)
- **Authorized official phone:** (317) 920-5900

## Contact information

- **Practice address:** 3505 WASHINGTON BLVD, INDIANAPOLIS, IN 46205-3718
- **Practice address phone:** (317) 920-5900
- **Practice address fax:** (317) 920-5911
- **Mailing address:** 3505 WASHINGTON BLVD, INDIANAPOLIS, IN 46205-3718
- **Mailing address phone:** (317) 920-5900
- **Mailing address fax:** (317) 920-5911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251B00000X | Case Management Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/07/2009
- **Last updated:** 10/07/2009