Organization
POLARIS COMMUNITY DEVELOPMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES F WEBB JR. B.S. (OWNER/DIRECTOR)
(317) 417-7123
Entity
Organization
Contact information
Practice address
5911 BUICK DR, INDIANAPOLIS, IN 46224-5322
(317) 417-7123
Mailing address
5911 BUICK DR, INDIANAPOLIS, IN 46224-5322
(317) 417-7123
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/10/2011
Last updated
05/20/2012
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