Organization
GLASSHOUSE FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EUGENE DULLEN JR. (DIRECTOR OF OPERATIONS)
(317) 938-1735
Entity
Organization
Contact information
Practice address
6145 LAKE FREEMAN DR, INDIANAPOLIS, IN 46254-6913
(317) 938-1735
Mailing address
6145 LAKE FREEMAN DR, INDIANAPOLIS, IN 46254-6913
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/07/2016
Last updated
04/07/2016
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