Organization
ORIGINAL HOUSING PROGRAM
Active
Organization
ORIGINAL HOUSING PROGRAM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LATOYA VINETTIE BEVERLY (NON CLINICAL)
(317) 559-5802
Entity
Organization
Contact information
Practice address
3539 N COLLEGE AVE # 1, INDIANAPOLIS, IN 46205-3755
(317) 258-0302
Mailing address
3902 N COLLEGE AVE, INDIANAPOLIS, IN 46205-2735
(317) 258-0302
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up