Berd Dynasty LLC
Substance Abuse Rehabilitation Facility in Indianapolis, IN. Organization (NPI-2).
NPI number1083371504
StatusActive
Last updated in NPPESJun 8, 2023
Details
- NPI
- 1083371504
- Entity type
- Organization (NPI-2)
- Legal business name
- Berd Dynasty LLC
- Organization subpart
- No
- Enumeration date
- Nov 18, 2021
- Certification date
- Jun 8, 2023
- Last updated
- Jun 8, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 324500000X | Substance Abuse Rehabilitation Facility | – | – | Yes |
Other names
- Fresh Start Treatment Facility (Doing Business As)
Practice location
3208 N Sherman DrIndianapolis, IN 46218-2173
Phone 317-653-1033 · Fax 317-653-1001
Mailing address
3208 N Sherman DrIndianapolis, IN 46218-2173
Phone 317-653-1033 · Fax 317-653-1001
Authorized official
Carlos Darden
Owner
3176531033
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