| 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 |