Road To Freedom
Community/Behavioral Health in Indianapolis, IN. Organization (NPI-2).
NPI number1295035301
StatusActive
Last updated in NPPESOct 25, 2010
Details
- NPI
- 1295035301
- Entity type
- Organization (NPI-2)
- Legal business name
- Road To Freedom
- Organization subpart
- No
- Enumeration date
- Oct 25, 2010
- Last updated
- Oct 25, 2010
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251S00000X | Community/Behavioral Health | 1509-O-ASO | IN | Yes |
Practice location
2511 E 46th StIndianapolis, IN 46205-2460
Phone 317-568-0683
Mailing address
2511 E 46th StIndianapolis, IN 46205-2460
Phone 317-568-0683
Authorized official
Louis Gould
Ceo
3175680683
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