Organization
WALKABOUT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY BALLE (PMHCNS-BC, RN)
(812) 671-0057
Entity
Organization
Contact information
Practice address
205 S WALNUT ST, BLOOMINGTON, IN 47404-6128
(812) 671-0057
(855) 370-1590
Mailing address
205 S WALNUT ST ST 17, BLOOMINGTON, IN 47404
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
28160285A
IN
Other
Enumeration date
01/15/2013
Last updated
01/15/2013
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