Organization
ADULT AND CHILD 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) 888-8642
Mailing address
8320 MADISON AVE, INDIANAPOLIS, IN 46227-6066
(317) 882-5122
(317) 888-8642
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2011
Last updated
01/09/2025
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