Provider First Line Business Practice Location Address:
720 ESKENAZI AVE
Provider Second Line Business Practice Location Address:
7TH FLOOR, MENTAL HEALTH RECOVERY CENTER
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46202
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-880-8492
Provider Business Practice Location Address Fax Number:
317-963-7325
Provider Enumeration Date:
06/18/2013