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Organization
INDIANA CLINIC
Active
Organization
INDIANA CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD BENNETT ACSW (CLINICAL MANAGER)
(317) 962-5148
Entity
Organization
Contact information
Practice address
1701 N SENATE AVE, INDIANAPOLIS, IN 46202-5306
(317) 962-5148
(317) 963-5424
Mailing address
1701 N SENATE AVE, INDIANAPOLIS, IN 46202-5306
(317) 962-5148
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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