Organization
SOUTHSIDE YOUTH COUNCIL, INC
Active
Other names
Reach For Youth, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTOPHER NUNN (PRESIDENT, EXECUTIVE DIRECTOR)
(317) 920-5900
Entity
Organization
Contact information
Practice address
5401 SHELBY ST, INDIANAPOLIS, IN 46227-4216
(317) 788-4451
(317) 788-4465
Mailing address
3505 WASHINGTON BLVD, INDIANAPOLIS, IN 46205-3718
(317) 920-5900
(317) 920-5911
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100071720
—
IN
Enumeration date
11/02/2006
Last updated
06/18/2008
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