Organization
MIDWEST BEHAVIORAL MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIS D LONG PHD (OWNER)
(317) 870-1396
Entity
Organization
Contact information
Practice address
500 N MERIDIAN ST, SUITE 400, INDIANAPOLIS, IN 46204-1272
(317) 870-1396
Mailing address
500 N MERIDIAN ST, SUITE 400, INDIANAPOLIS, IN 46204-1272
(317) 870-1396
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
05/02/2016
Last updated
07/11/2016
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