Organization
THE ROOT THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRIS ROSS (CEO)
(463) 222-7550
Entity
Organization
Contact information
Practice address
8901 E 42ND ST, INDIANAPOLIS, IN 46226-5515
(463) 222-7550
Mailing address
8901 E 42ND ST, INDIANAPOLIS, IN 46226-5515
(463) 222-7550
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/11/2021
Last updated
12/11/2021
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