Organization
RAISING BASELINES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LENISHA INEZ WATSON (THERAPIST)
(317) 362-2652
Entity
Organization
Contact information
Practice address
3133 MERRICK LN, 1A, INDIANAPOLIS, IN 46222-1755
(317) 362-2652
(317) 942-0941
Mailing address
3133 MERRICK LN, 1A, INDIANAPOLIS, IN 46222-1755
(317) 362-2652
(317) 942-0941
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
09/14/2015
Last updated
09/14/2015
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