NPI | 1265477632 |
---|---|
Doing Business As | COMMUNITY FAIRBANKS BEHAVIORAL HEALTH |
Entity Type | Organization |
Authorized Contact | RAMARAO YELETI Md, EVP 317-621-9002 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2006-06-18 |
Last Update Date | 2022-06-02 |