Success Acq Corp
NPI #1861587230 in Indianapolis, Indiana
Provider Information
- NPI Number
- 1861587230
- Entity Type
- Organization
- Organization Name
- Success Acq Corp
- Primary Specialty
- Residential Treatment Facility, Emotionally Disturbed Children
- Enumeration Date
- Oct 3, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3455 WEST VERMONT
- City
- Indianapolis
- State
- Indiana
- ZIP Code
- 46222
- Phone
- (317) 916-1402
Authorized Official
- Name
- CHRIS JAGODITZ
- Title
- CHIEF FINANCIAL OFFICER
- Phone
- (317) 524-6360
Specialties & Taxonomy Codes
| Specialty |
|---|
| Residential Treatment Facility, Emotionally Disturbed Children |
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