Organization
INTEGRATIVE HEALTH RESOURCES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALLEN MARCELLUS RADER LCSW (PRESIDENT)
(317) 471-8780
Entity
Organization
Contact information
Practice address
3802 W 96TH ST STE 220, INDIANAPOLIS, IN 46268-2916
(317) 471-8780
(317) 471-8782
Mailing address
3802 W 96TH ST STE 220, INDIANAPOLIS, IN 46268-2916
(317) 471-8780
(317) 471-8782
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
34003862A
IN
Other
Enumeration date
12/11/2009
Last updated
12/01/2010
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