Organization
INDIANA MENTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YNESHA JOHNSON DOO (DIRECTOR OF OPERATIONS)
(317) 581-2380
Entity
Organization
Contact information
Practice address
8925 N. MERIDIAN STREET, #250, INDIANAPOLIS, IN 46260
(317) 208-7720
(317) 581-2387
Mailing address
8925 N. MERIDIAN, #250, INDIANAPOLIS, IN 46260
(317) 208-7720
(317) 581-2387
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
09/09/2011
Last updated
09/09/2011
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