Organization
CONNECTED IN COMMUNITY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLA JOYCE CANNON YEARWOOD LSW (OWNER)
(317) 402-1604
Entity
Organization
Contact information
Practice address
5625 N GERMAN CHURCH RD STE 105, INDIANAPOLIS, IN 46235-8513
(317) 207-0380
Mailing address
5625 N GERMAN CHURCH RD STE 105, INDIANAPOLIS, IN 46235-8513
(317) 207-0380
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/05/2020
Last updated
10/05/2020
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