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General NPI Number Information
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NPI Number | 1902621832
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Entity Type | Organization
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Legal Business Name | WHATEVER IT TAKES HOUSING PROGRAM
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Dates
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Enumeration Date | 11/15/2024
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Last Update Date | 11/15/2024
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Provider Practice Location Address
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Address Line | 3637 N TACOMA AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46218-1145
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Country | US
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Telephone | 317-702-0720
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Fax |
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Provider Business Mailing Address
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Address Line | 3637 N TACOMA AVE
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City | INDIANAPOLIS
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State | IN
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Zip | 46218-1145
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Country | US
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Telephone | 317-702-0720
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. VALARIE GIBSON
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Credential | MASTER PSYCH/ BS
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Telephone | 317-702-0720
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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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 | 322D00000X
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Taxonomy Name | Emotionally Disturbed Childrens' Residential Treatment Facility
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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 | 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 #4
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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