Indiana Mentor
NPI #1184906778 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1184906778
- Entity Type
- Organization
- Organization Name
- Indiana Mentor
- Primary Specialty
- Foster Care Agency
- Enumeration Date
- Sep 9, 2011
- Last Updated
- Sep 9, 2011
Practice Location
- Address
- 8925 N. MERIDIAN STREET
- Address 2
- #250
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46260
- Phone
- (317) 208-7720
Authorized Official
- Name
- MRS. YNESHA JOHNSON, DOO
- Title
- DIRECTOR OF OPERATIONS
- Phone
- (317) 581-2380
Specialties & Taxonomy Codes
| Specialty |
|---|
| Foster Care Agency |
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