Organization
SECOND BAPTIST CHURCH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID W GREENE SR. (PRESIDENT)
(317) 925-0335
Entity
Organization
Contact information
Practice address
3705 KESSLER BLVD NORTH DR, INDIANAPOLIS, IN 46222-5800
(317) 925-0335
(317) 925-3922
Mailing address
3705 KESSLER BLVD NORTH DR, INDIANAPOLIS, IN 46222-5800
(317) 925-0335
(317) 925-3922
Taxonomy
Speciality
Code
Description
License number
State
253J00000X
Foster Care Agency
Primary
200937220A
IN
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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