Organization
PSYCHIATRIC MANAGEMENT SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MORRIS D LONG (CEO)
(574) 339-3021
Entity
Organization
Contact information
Practice address
2725 ENTERPRISE DR, ANDERSON, IN 46013-9670
(317) 870-1553
(317) 757-8491
Mailing address
8465 KEYSTONE XING, SUITE 210, INDIANAPOLIS, IN 46240-4355
(317) 870-1396
(317) 757-8491
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
01038074A
IN
363LA2200X
Adult Health Nurse Practitioner
28076787A
IN
Other
Enumeration date
08/21/2015
Last updated
01/15/2025
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