Organization
INDIANA MENTOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. Y' NESHA JOHNSON (DIRECTOR OF OPERATIONS)
(317) 581-2380
Entity
Organization
Contact information
Practice address
8925 N MERIDIAN ST, SUITE 250, INDIANAPOLIS, IN 46260-2386
(317) 581-2380
(317) 581-2387
Mailing address
8925 N MERIDIAN ST, SUITE 250, INDIANAPOLIS, IN 46260-2386
(317) 581-2380
(317) 581-2387
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
253J00000X
Foster Care Agency
Primary
—
—
Other
Enumeration date
06/15/2010
Last updated
06/15/2010
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