Organization
MUSLIM RE-ENTRY NETWORK OF INDIANA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KHABIR A SHAREEF (EX. DIRECTOR)
(317) 313-8923
Entity
Organization
Contact information
Practice address
5525 GEORGETOWN RD STE E, INDIANAPOLIS, IN 46254-3717
(317) 313-8923
Mailing address
4961 SEVILLE DR, INDIANAPOLIS, IN 46228-2176
(317) 313-8923
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/16/2018
Last updated
12/16/2018
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