Organization
RAHAB RESTORATION CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP NORTON MBA (CHIEF INFORMATION OFFICER)
(317) 238-3076
Entity
Organization
Contact information
Practice address
3808 LESLEY AVE, INDIANAPOLIS, IN 46226-4850
(317) 238-3076
(317) 546-3455
Mailing address
3808 LESLEY AVENUE, INDIANAPOLIS, IN 46226-4850
(317) 238-3076
(317) 546-3455
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1615-0-ASO
IN
Other
Enumeration date
09/17/2010
Last updated
09/17/2010
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