Organization
SAINT DAMIAN SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERRANCE KINNARD (MANAGING MEMBER)
(131) 738-3118
Entity
Organization
Contact information
Practice address
3902 MADISON AVE, INDIANAPOLIS, IN 46227-1312
(317) 383-1183
Mailing address
320 N MERIDIAN ST STE 1006, INDIANAPOLIS, IN 46204-1764
(317) 383-1183
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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