Indianapolis Treatment Center, Llc
Methadone Clinic in Indianapolis, IN(View on Map)
Legal Business Name
Indianapolis Treatment Center, Llc
NPI Number
1275686123
NPI Type
Organization
Enumeration Date
01/22/2007
Specialties
(Taxonomies)Code
261QM2800X
261Q00000X
261QR0405X
Primary Taxonomy
Yes
No
No
Licenses
State
Indiana
License Number
1228-0-ASR
Contact
Information
Purpose
Mailing
Location
Address
6183 PASEO DEL NORTE
2626 E 46TH STREET
City
Carlsbad
Indianapolis
State
CA
IN
Postal Code
92011-1155
46205-2380
Country
US
US
Telephone Number
N/A
(317) 475-9066
Authorized Official
Name
Brian Farley
Title or Position
VP & SECRETARY
Telephone Number
(615) 861-6000
Identifiers
Identifier
300008529
201359690A
Identifier State
IN
IN
Identifier Issuer
Unknown
Unknown
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/23/2023
Provider Address
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The Health And Hospital Corporation Of Marion County
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Overdose Lifeline, Inc.
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Indianapolis, INSpecialties: Adolescent and Children Mental Health Clinic/CenterAdult Mental Health Clinic/CenterCase Management AgencyCommunity/Behavioral Health AgencyEarly Intervention Provider AgencyLodging ProviderMental Health Clinic/Center (Including Community Mental Health Center)Methadone ClinicVoluntary or Charitable Agency