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Organization
INDIANA MENTOR
Active
Organization
INDIANA MENTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAN MOHNKE (STATE DIRECTOR)
(317) 581-2380
Entity
Organization
Contact information
Practice address
8925 N MERIDIAN ST, SUITE 200, INDIANAPOLIS, IN 46260-2386
(317) 581-2380
(317) 581-2378
Mailing address
8925 N MERIDIAN ST, SUITE 200, INDIANAPOLIS, IN 46260-2386
(317) 581-2380
(317) 581-2378
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
IN
Other
Enumeration date
04/04/2007
Last updated
08/22/2020
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