| Reach For Youth, Inc | |
|
5401 Shelby St Indianapolis IN 46227-4216 | |
| (317) 788-4451 | |
| (317) 788-4465 |
| Full Name | Reach For Youth, Inc |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 5401 Shelby St, Indianapolis, Indiana |
| Authorized Official Name and Position | Christopher Nunn (PRESIDENT, EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3179205900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reach For Youth, Inc 3505 Washington Blvd Indianapolis IN 46205-3718 Ph: (317) 920-5900 | Reach For Youth, Inc 5401 Shelby St Indianapolis IN 46227-4216 Ph: (317) 788-4451 |
| NPI Number | 1003994245 |
|---|---|
| Provider Enumeration Date | 11/02/2006 |
| Last Update Date | 06/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003994245 | NPI | - | NPPES |
| 100071720 | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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