Organization
MIDWAY TRANSITIONAL GROUP, LLC
Active
Other names
Midway Transitional Group
Organization subpart
No
Provider details
NPI number
Authorized official
LAKISHA WINTERS (CEO)
(317) 610-1212
Entity
Organization
Contact information
Practice address
220 W 29TH ST, INDIANAPOLIS, IN 46208-5102
(317) 426-3354
Mailing address
220 W 29TH ST, INDIANAPOLIS, IN 46208-5102
(317) 426-3354
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
—
—
251B00000X
Case Management Agency
—
—
251K00000X
Public Health or Welfare Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/22/2021
Last updated
07/22/2021
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