Organization
ROAD TO FREEDOM
Active
Organization
ROAD TO FREEDOM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS GOULD (CEO)
(317) 568-0683
Entity
Organization
Contact information
Practice address
2511 E 46TH ST, INDIANAPOLIS, IN 46205-2460
(317) 568-0683
Mailing address
2511 E 46TH ST, INDIANAPOLIS, IN 46205-2460
(317) 568-0683
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1509-O-ASO
IN
Other
Enumeration date
10/25/2010
Last updated
10/25/2010
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