Organization
PASSWORD COMMUNITY MENTORING, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS R HUCKSTEP (BUSINESS MANAGER)
(317) 472-7903
Entity
Organization
Contact information
Practice address
4720 KINGSWAY DR STE 400, INDIANAPOLIS, IN 46205-1580
(317) 585-2791
(317) 472-7899
Mailing address
4720 KINGSWAY DR STE 400, INDIANAPOLIS, IN 46205-1580
(317) 585-2791
(317) 472-7899
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
02/21/2008
Last updated
02/21/2008
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