Organization
AQUARIAN MINISTRY LTD SPIRITUALIST CHURCH OF INTEGRATIVE HEALTH
Active
Other names
Aquarian Ministry Ltd Spiritualist Church
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERESE A POLING MD (DOCTOR OF MEDICINE)
(317) 907-4198
Entity
Organization
Contact information
Practice address
GRACE CLINIC, 620 8TH AVE, TERRE HAUTE, IN 47804
(812) 231-8350
Mailing address
858 N LASALLE ST, INDIANAPOLIS, IN 46201-2556
(317) 907-4198
Taxonomy
Speciality
Code
Description
License number
State
2084P0802X
Addiction Psychiatry Physician
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/20/2025
Last updated
02/20/2025
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