NPI 1053054601
Impact Life Decisions, INC
Practice location
- Address
- 2901 N Post Rd, Indianapolis, IN 46219-1540
- Phone
- (317) 749-4801
Authorised official
- Name
- Camille Scott Tolliver
- Title
- Executive Director
- Phone
- (317) 296-0338
Registered specialties
Community/Behavioral Health Agency
Primary
Registry record
- NPI
- 1053054601
- Entity type
- Organization
- NPI issued
- 20 Apr 2022
- Record last updated
- 20 Apr 2022
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.