Organization
BRANCHES RESIDENTIAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT WADE HAMPTON MSW (OWNER)
(317) 966-8413
Entity
Organization
Contact information
Practice address
13096 GLENSIDE DR, FISHERS, IN 46037-8863
(317) 966-8413
Mailing address
13096 GLENSIDE DR, FISHERS, IN 46037-8863
(317) 966-8413
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
05/03/2017
Last updated
05/03/2017
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