Organization
EASTSIDE PREVENTIVE & BEHAVIORAL HEALTHCARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DELILAH HOOD DHA, MSW (PRESIDENT)
(417) 619-2768
Entity
Organization
Contact information
Practice address
1605 WARREN LAKE CT, INDIANAPOLIS, IN 46229-2290
(417) 619-2768
Mailing address
1605 WARREN LAKE CT, INDIANAPOLIS, IN 46229-2290
(417) 619-2768
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/16/2024
Last updated
10/16/2024
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