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General NPI Number Information
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NPI Number | 1093573461
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Entity Type | Organization
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Legal Business Name | HELP CHANGING LIVES FOR THE BETTER
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 08/07/2024
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Provider Practice Location Address
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Address Line | 995 N FENTON AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46219-5403
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Country | US
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Telephone | 317-457-1163
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Fax | 317-941-7377
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Provider Business Mailing Address
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Address Line | 4164 N BUTLER AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46226-4628
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Country | US
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Telephone | 317-457-1163
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JASMINE SANDERS
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Credential |
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Telephone | 317-457-1163
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 385HR2050X
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Taxonomy Name | Respite Care Camp
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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