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Organization

SARDIS TRANSITIONAL HOUSING

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AVA RICHARDSON (OWNER)
(317) 607-3812
Entity
Organization

Contact information

Practice address
4072 SAWYER ST, INDIANAPOLIS, IN 46226-4953
(317) 607-3812
Mailing address
4072 SAWYER ST, INDIANAPOLIS, IN 46226-4953
(317) 607-3812

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
101YM0800X
Mental Health Counselor
106S00000X
Behavior Technician
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist

Other

Enumeration date
11/30/2022
Last updated
11/30/2022
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