Organization · NPI-2

Achieve Quality Of Life

Clinic/Center, Mental Health (Including Community Mental Health Center) · Carmel, IN

NPI number1609507177
StatusActive
Last updated in NPPESJun 23, 2022

Details

NPI
1609507177
Entity type
Organization (NPI-2)
Legal business name
Achieve Quality Of Life
Organization subpart
No
Enumeration date
Jun 23, 2022
Certification date
Jun 23, 2022
Last updated
Jun 23, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes
261QD1600X Clinic/Center, Developmental Disabilities––
261QM1300X Clinic/Center, Multi-Specialty––

Practice location

13295 Illinois St Ste 124
Carmel, IN 46032-3020

Phone 317-373-1145

Mailing address

11831 Harvard Ln
Carmel, IN 46032-4663

Phone 317-373-1145

Authorized official

Teri Marisa Krakovich
Founder/Ceo
3173731145

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