Organization
INDIANAPOLIS TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAREN ELAINE TUTTLE LPN (DISPENSING NURSE)
(317) 313-3066
Entity
Organization
Contact information
Practice address
2626 E 46TH ST, INDIANAPOLIS, IN 46205-2380
(317) 475-9066
(317) 257-3602
Mailing address
2626 E 46TH ST, INDIANAPOLIS, IN 46205-2380
(317) 475-9066
(317) 257-3602
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
1275686123
IN
Other
Enumeration date
03/18/2016
Last updated
03/18/2016
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