Organization
ADULT AND CHILD MENTAL HEALTH CENTER INC
Active
Organization
ADULT AND CHILD MENTAL HEALTH CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA R CARTER (VP MANAGED CARE)
(417) 761-5126
Entity
Organization
Contact information
Practice address
8320 MADISON AVE, INDIANAPOLIS, IN 46227-6066
(317) 882-5122
(317) 888-8642
Mailing address
222 E OHIO ST STE 600, INDIANAPOLIS, IN 46204-2169
(317) 275-8817
(317) 632-6148
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201387680
—
IN
Enumeration date
04/29/2016
Last updated
01/13/2025
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