Organization
BROTHERS UNITED, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARRY EUGENE JIMISON JR. (EXECUTIVE DIRECTOR)
(317) 931-0292
Entity
Organization
Contact information
Practice address
3737 N MERIDIAN ST, SUITE 401, INDIANAPOLIS, IN 46208-4347
(317) 931-0292
(317) 931-0294
Mailing address
3737 N MERIDIAN ST, SUITE 401, INDIANAPOLIS, IN 46208-4347
(317) 931-0292
(317) 931-0294
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
12/21/2015
Last updated
12/21/2015
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