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Organization

CENTRAL INDIANA CLUBHOUSE NFP CORP

Active
Other names
Circle City Clubhouse
Organization subpart
No

Provider details

NPI number
Authorized official
JAY BRUBAKER J.D. (EXECUTIVE DIRECTOR)
(317) 260-8058
Entity
Organization

Contact information

Practice address
4141 OFFICE PLAZA BLVD, INDIANAPOLIS, IN 46254-2408
(317) 260-8058
Mailing address
4141 OFFICE PLAZA BLVD, INDIANAPOLIS, IN 46254-2408
(317) 260-8058

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Enumeration date
06/15/2016
Last updated
06/15/2016
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