Organization
EXIST PROVIDER SERVICES, LLC
Active
Other names
Delfield Anderson
Organization subpart
No
Provider details
NPI number
Authorized official
DEL ANDERSON (OWNER/CEO)
(317) 809-8865
Entity
Organization
Contact information
Practice address
7425 TRESTLE WAY CIR, INDIANAPOLIS, IN 46256-1983
(317) 809-8865
Mailing address
7425 TRESTLE WAY CIR, INDIANAPOLIS, IN 46256-1983
(317) 809-8865
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2021
Last updated
05/21/2021
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