Provider First Line Business Practice Location Address:
355 W. 16TH STREET
Provider Second Line Business Practice Location Address:
DEPT. OF PSYCHIATRY
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46202-2207
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-963-7288
Provider Business Practice Location Address Fax Number:
317-963-7313
Provider Enumeration Date:
05/22/2013