91 Place Inc
Organization Active NPI Community/Behavioral Health Agency · Indianapolis, IN
NPI 1669249405 · NPPES record last updated Dec 11, 2023
Key facts
- NPI
- 1669249405
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- 91 PLACE INC
- Practice address
- 1125 Brookside Ave Ste 50
Indianapolis, IN 46202-3587 - Phone
- (317) 220-8166
- NPI assigned
- Dec 11, 2023
- Organization subpart
- No
Authorized official
- Name
- Charlotte Cox, MSW
- Title
- Therapy Center Director
- Phone
- (740) 885-0062
Practitioners 1
-
Charlotte Cox, MSW, LCSW
National Provider Directory
Locations
2811 E 10th St
Ste B
Indianapolis, IN 46201
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
1125 Brookside Ave Ste 50
Indianapolis, IN 46202-3587
Mailing address
2811 E 10TH St Ste B
Indianapolis, IN 46201-2471
Phone (317) 220-8166
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.