| Pakt, Llc | |
|
133 N 4th St Suite 511 Lafayette IN 47901-1371 | |
| (765) 210-0881 | |
| Not Available |
| Full Name | Pakt, Llc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 133 N 4th St, Lafayette, Indiana |
| Authorized Official Name and Position | Ginger L Hunt-goins (AS, MEMBER OF PAKT, LLC) |
| Authorized Official Contact | 7652100881 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pakt, Llc Po Box 3710 West Lafayette IN 47996-3710 Ph: (765) 210-0881 | Pakt, Llc 133 N 4th St Suite 511 Lafayette IN 47901-1371 Ph: (765) 210-0881 |
| NPI Number | 1952680001 |
|---|---|
| Provider Enumeration Date | 08/08/2011 |
| Last Update Date | 08/11/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952680001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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