Organization
SOUTHSIDE YOUTH COUNCIL, INC
Active
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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