ADULT AND CHILD MHC NPI 1386921732

NPI Information

ADULT AND CHILD MHC is a mental health counselor in Indianapolis, IN. ADULT AND CHILD MHC NPI is 1386921732. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8320 MADISON AVE
INDIANAPOLIS, IN
ZIP 46227-066
Phone: (317) 882-5122
Fax: (317) 888-8642

The provider's authorized official is Joseph F Breyer .
The authorized official title is Cfo and has the following contact phone number (317) 882-5122.

The CLIA number assigned to this NPI record is 15D2113436 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/14/2011 and was last updated on 11/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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