Organization
INDIANA RE-ENTRY INTEGRATION
Active
Other names
Indiana Re-Entry Integration Services
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D JAMES LCAC, MATS (CEO)
(317) 263-1675
Entity
Organization
Contact information
Practice address
358 W TANSEY XING, WESTFIELD, IN 46074-9743
(317) 263-1675
Mailing address
8081 LOWER BAY LN, INDIANAPOLIS, IN 46236-9781
(317) 374-3745
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
06/20/2020
Last updated
06/20/2020
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