Organization
KALEIDOSCOPE CENTER
Active
Parent organization
CHOICES COORDINATED CARE SOLUTIONS
Other names
Kaleidoscope Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHOICES COORDINATED CARE SOLUTIONS
Authorized official
JENNIFER TACKITT LCSW (EXECUTIVE DIRECTOR)
(317) 383-7097
Entity
Organization
Contact information
Practice address
7941 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1953
(317) 250-8206
Mailing address
7941 CASTLEWAY DR, INDIANAPOLIS, IN 46250-1953
(317) 250-8206
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
09/09/2021
Last updated
09/09/2021
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