Organization
ADULT & CHILD MENTAL HEALTH CENTER
Active
Organization
ADULT & CHILD MENTAL HEALTH CENTER
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) 886-8642
Mailing address
8320 MADISON AVE, INDIANAPOLIS, IN 46227-6066
(317) 882-5122
(317) 886-8642
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100367690
—
IN
Enumeration date
05/15/2007
Last updated
01/09/2025
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