Coach Dreammakers Llc

NPI 1194121541 - Community/Behavioral Health - 251S00000X

NPI Details
NPI 1194121541
Enumeration Date 11/13/2014
Last Updated 11/13/2014
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name RICKY RICKY
Position OWNER
Phone (317) 513-2386
Fax
Practice Location
5626 PORTWOOD PL
INDIANAPOLIS IN, 46254-5140, US
Phone (317) 513-2386
Fax
Business Location
5626 PORTWOOD PL
INDIANAPOLIS IN, 46254-5140, US
Phone (317) 513-2386
Fax
Toxanomy
Taxonomy Code 251S00000X
License State Indiana
License Number 2330496686
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According to our database, Coach Dreammakers Llc NPI is 1194121541, taxonomy code is 251S00000X and license number is 2330496686, license state is located at Indiana. Coach Dreammakers Llc physically located at 5626 Portwood Pl, Indianapolis IN, 46254-5140. NPI Number 1033115704 has the healthcare provider type.

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1194121541 NPI number is provided on an as is basis without warranty of any kind. 1194121541 is maintained by the National Plan & Provider Enumeration System. The contents of Coach Dreammakers Llc are for informational purposes only.