Organization
THE SYSTEM OF INTERVENTION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD BRIDGES FERGUSON (SECRETARY OF CORPORATION)
(812) 371-6044
Entity
Organization
Contact information
Practice address
712 LAFAYETTE AVE., COLUMBUS, IN 47201-6269
(812) 371-6044
(812) 314-4962
Mailing address
712 LAFAYETTE AVE., COLUMBUS, IN 47201-6269
(812) 371-6044
(812) 314-4962
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/02/2007
Last updated
08/22/2020
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