| NPI | 1245769645 |
|---|---|
| Doing Business As | COMMUNITY FAIRBANKS BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | RAMARAO YELETI Md, EVP 317-621-9002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2022-06-02 |