Organization
LUTHERAN CHILD AND FAMILY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BOBBY JONES (CLINICAL DIRECTOR)
(317) 359-5467
Entity
Organization
Contact information
Practice address
1525 N RITTER AVE, INDIANAPOLIS, IN 46219-3026
(317) 359-5467
Mailing address
1525 N RITTER AVE, INDIANAPOLIS, IN 46219-3026
Taxonomy
Speciality
Code
Description
License number
State
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility
Primary
—
—
Other
Enumeration date
12/16/2010
Last updated
12/16/2010
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