Organization · NPI-2

91 Place INC

Community/Behavioral Health · Indianapolis, IN

NPI number1669249405
StatusActive
Last updated in NPPESDec 11, 2023

Details

NPI
1669249405
Entity type
Organization (NPI-2)
Legal business name
91 Place INC
Organization subpart
No
Enumeration date
Dec 11, 2023
Certification date
Nov 28, 2023
Last updated
Dec 11, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
251S00000X Community/Behavioral Health––Yes

Practice location

1125 Brookside Ave Ste 50
Indianapolis, IN 46202-3587

Phone 317-220-8166

Mailing address

2811 E 10th St Ste B
Indianapolis, IN 46201-2471

Phone 317-220-8166

Authorized official

Charlotte Cox
Therapy Center Director
7408850062

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