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The Hope Source INC.

Clinic/Center, Multi-Specialty in Indianapolis, IN. Organization (NPI-2).

NPI number1265736615
StatusActive
Last updated in NPPESDec 6, 2024

Details

NPI
1265736615
Entity type
Organization (NPI-2)
Legal business name
The Hope Source INC.
Organization subpart
No
Enumeration date
Dec 28, 2010
Certification date
Dec 6, 2024
Last updated
Dec 6, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM1300X Clinic/Center, Multi-Specialty––Yes
103K00000X Behavior Analyst––
103T00000X Psychologist––
104100000X Social Worker––
1041C0700X Social Worker, Clinical––
225100000X Physical Therapist––
225X00000X Occupational Therapist––
235Z00000X Speech-Language Pathologist,––

Practice location

8350 Craig St
Indianapolis, IN 46250-3593

Phone 317-578-0410 · Fax 317-436-7409

Mailing address

8350 Craig St
Indianapolis, IN 46250-3593

Phone 317-578-0410 · Fax 317-578-0520

Other practice locations

7739 E 88th St
Indianapolis, IN 46256-1231

Phone 317-288-4767 · Fax 317-436-7409

Authorized official

Momi Yamanaka
Executive Clinical Director
3175178817

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