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Organization
AQUARIAN MINISTRY LTD SPIRITUALIST CHURCH OF INTEGRATIVE HEALTH
Active
Organization
AQUARIAN MINISTRY LTD SPIRITUALIST CHURCH OF INTEGRATIVE HEALTH
Active
Other names
Aquarian Ministry Ltd Spiritualist Church
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESE A POLING MD (DOCTOR OF MEDICINE)
(317) 907-4198
Entity
Organization
Contact information
Practice address
GRACE CLINIC, 620 8TH AVE, TERRE HAUTE, IN 47804
(812) 231-8350
Mailing address
858 N LASALLE ST, INDIANAPOLIS, IN 46201-2556
(317) 907-4198
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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