| Jed Mental Health Pc | |
|
192 N State Road 267 Suite 300 Avon IN 46123-9513 | |
| (317) 672-6400 | |
| (317) 672-6400 |
| Full Name | Jed Mental Health Pc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 192 N State Road 267, Avon, Indiana |
| Authorized Official Name and Position | Jane Elizabeth Dinunzio (PRESIDENT) |
| Authorized Official Contact | 3176726400 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jed Mental Health Pc 192 N State Road 267 Suite 300 Avon IN 46123-9513 Ph: (317) 672-6400 | Jed Mental Health Pc 192 N State Road 267 Suite 300 Avon IN 46123-9513 Ph: (317) 672-6400 |
| NPI Number | 1568739910 |
|---|---|
| Provider Enumeration Date | 11/29/2011 |
| Last Update Date | 01/31/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568739910 | NPI | - | NPPES |
| M100060443 | Other | IN | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 34005048A (Indiana) | Primary |
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