Organization
ADULT AND CHILD MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA R CARTER (VP MANAGED CARE)
(417) 761-5126
Entity
Organization
Contact information
Practice address
8320 MADISON AVENUE, INDIANAPOLIS, IN 46227-6066
(317) 881-5122
(317) 888-8642
Mailing address
8320 MADISON AVE, INDIANAPOLIS, IN 46227-6090
(317) 882-5122
(317) 888-8642
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
34005456A
IN
Other
Enumeration date
10/06/2009
Last updated
01/09/2025
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