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1619564549
180 ENTERPRISE
INDIANAPOLIS, IN
NPI
1619564549
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Entity Type
Organization
Authorized Contact
KIMTOIYA SAM
Owner
317-966-7772
Organization Subpart ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2020-12-27
Last Update Date
2020-12-27
Business Address
180 ENTERPRISE
3430 CORK BEND DR
INDIANAPOLIS, IN 46239-7669
Phone number: 317-966-7772
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Mailing Address
180 ENTERPRISE
3430 CORK BEND DR
INDIANAPOLIS, IN 46239-7669
Phone number: 317-966-7772
Copy
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