Organization
MIDTOWN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIE A CAMPBELL LCSW (CIU SPEACILIST)
(317) 630-8839
Entity
Organization
Contact information
Practice address
1001 W 10TH ST, INDIANAPOLIS, IN 46202-2859
(317) 630-8839
Mailing address
877 SABLE RIDGE DR, GREENWOOD, IN 46142-9767
(317) 447-8186
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
34006177A
IN
Other
Enumeration date
03/23/2011
Last updated
03/23/2011
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