Organization
TAKE BACK CONTROL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. YOLANDA RENEE' REEVES BSW, MA, LCAC (EXECUTIVE DIRECTOR)
(317) 346-4000
Entity
Organization
Contact information
Practice address
55 1/2 E COURT ST, FRANKLIN, IN 46131-2303
(317) 346-4000
(317) 346-0442
Mailing address
3445 W 71ST ST, INDIANAPOLIS, IN 46268-2248
(317) 346-4000
(317) 346-0442
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
87000158A
IN
Other
Enumeration date
06/11/2012
Last updated
06/11/2012
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