Organization
MOSES MENTAL HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARLA MOSES PMHNP (OWNER)
(765) 491-6515
Entity
Organization
Contact information
Practice address
1933 CENTRAL AVE, INDIANAPOLIS, IN 46202-1610
(765) 491-6515
(317) 602-8951
Mailing address
1933 CENTRAL AVE, INDIANAPOLIS, IN 46202-1610
(765) 491-6515
(317) 602-8951
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
323P00000X
Psychiatric Residential Treatment Facility
Primary
71002822A
IN
Other
Enumeration date
02/02/2018
Last updated
02/02/2018
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