NPI 1003994245

Southside Youth Council, INC

Organisation Community/Behavioral Health Agency Indianapolis, IN

Practice location

Address: 5401 Shelby St, Indianapolis, IN 46227-4216
Phone: (317) 788-4451
Fax: (317) 788-4465
Mailing address: 3505 Washington Blvd, Indianapolis, IN 46205-3718

Authorised official

Name: Christopher Nunn
Title: President, Executive Director
Phone: (317) 920-5900

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Indiana →

Registry record

NPI: 1003994245
Entity type: Organization
NPI issued: 2 Nov 2006
Record last updated: 18 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.