Organization
HELP CHANGING LIVES FOR THE BETTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASMINE SANDERS (CEO)
(317) 457-1163
Entity
Organization
Contact information
Practice address
995 N FENTON AVE, INDIANAPOLIS, IN 46219-5403
(317) 457-1163
(317) 941-7377
Mailing address
4164 N BUTLER AVE, INDIANAPOLIS, IN 46226-4628
(317) 457-1163
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
385H00000X
Respite Care
—
—
385HR2050X
Respite Care Camp
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
Other
Enumeration date
03/11/2024
Last updated
08/07/2024
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