Organization
WISHKIDS INTERNATIONAL
Active
Other names
Wish Therapeutic Services (WTS)
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILLIP MAZORODZE BEHAVIOR CORDINATOR (PRESIDENT)
(317) 295-9441
Entity
Organization
Contact information
Practice address
754 N SHERMAN DR, SUITE 205, INDIANAPOLIS, IN 46201-2575
(317) 295-9441
(317) 295-9441
Mailing address
4409 EAGLE CREEK PKWY APT 103, INDIANAPOLIS, IN 46254-4326
(317) 295-9441
(317) 295-9441
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IN
Other
Enumeration date
07/31/2006
Last updated
07/21/2022
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