Organization
91 PLACE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLOTTE COX MSW (THERAPY CENTER DIRECTOR)
(740) 885-0062
Entity
Organization
Contact information
Practice address
1125 BROOKSIDE AVE STE 50, INDIANAPOLIS, IN 46202-3587
(317) 220-8166
Mailing address
2811 E 10TH ST STE B, INDIANAPOLIS, IN 46201-2471
(317) 220-8166
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
12/11/2023
Last updated
12/11/2023
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