Organization
BRANCHES OF LIFE TREATMENT FOSTER CARE INCORPORATED
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAWNA WEBSTER (DIRECTOR)
(317) 513-8069
Entity
Organization
Contact information
Practice address
4954 E 56TH ST, SUITE 11, INDIANAPOLIS, IN 46220-5773
(317) 513-8069
(317) 926-0603
Mailing address
4954 E 56TH ST, SUITE 11, INDIANAPOLIS, IN 46220-5773
(317) 513-8069
(317) 926-0603
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
07/13/2010
Last updated
07/13/2010
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