Organization
SUPPORTIVE SYSTEMS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA CLAIR LCSW (THERAPIST)
(317) 788-4111
Entity
Organization
Contact information
Practice address
25 BEACHWAY DR STE C, INDIANAPOLIS, IN 46224-8506
(317) 788-4111
Mailing address
25 BEACHWAY DR STE C, INDIANAPOLIS, IN 46224-8506
(317) 788-4111
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
34001319A
IN
Other
Enumeration date
06/06/2012
Last updated
06/06/2012
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