Organization
LUTHERAN CHILD AND FAMILY SERVICES OF INDIANA/KENTUCKY, INC.
Active
Other names
LCFS
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN R JOHNSON (INTERIM EXECUTIVE DIRECTOR)
(317) 359-5467
Entity
Organization
Contact information
Practice address
1525 N RITTER AVE, INDIANAPOLIS, IN 46219-3026
(317) 359-5467
(317) 322-4095
Mailing address
1525 N RITTER AVE, INDIANAPOLIS, IN 46219-3026
(317) 359-5467
(317) 322-4095
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
73545 49-900998
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000487150
ANTHEM PROVIDER NUMBER
IN
Enumeration date
08/31/2006
Last updated
08/22/2020
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