Organization
INDY TEEN TREATMENT CENTER LLC
Active
Other names
ITTC, nulife behavioral health
Organization subpart
No
Provider details
NPI number
Authorized official
ALEXANDER ZEIGER (OWNER)
(845) 372-6480
Entity
Organization
Contact information
Practice address
6620 PARKDALE PL STE N, INDIANAPOLIS, IN 46254-4697
(845) 372-6480
Mailing address
1451 ROUTE 88 STE 5, BRICK, NJ 08724-2371
(845) 372-6480
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
324500000X
Substance Abuse Rehabilitation Facility
—
—
Other
Enumeration date
04/07/2025
Last updated
04/07/2025
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