Organization
IMPACT LIFE DECISIONS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAMILLE SCOTT TOLLIVER EDD (EXECUTIVE DIRECTOR)
(317) 296-0338
Entity
Organization
Contact information
Practice address
2901 N POST RD, INDIANAPOLIS, IN 46219-1540
(317) 749-4801
Mailing address
2901 N POST RD, INDIANAPOLIS, IN 46219-1540
(317) 749-4801
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/20/2022
Last updated
04/20/2022
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