NPI 1083363915
Kiddieklubhouse,llc
Practice location
- Address
- 2209 W Surrey Dr, Muncie, IN 47304-1448
- Phone
- (765) 283-8895
Authorised official
- Name
- Amy Carman
- Title
- Manager
- Phone
- (765) 283-8895
Registered specialties
Child Mental Illness Respite Care
Primary
Registry record
- NPI
- 1083363915
- Entity type
- Organization
- NPI issued
- 18 Mar 2022
- Record last updated
- 18 Mar 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.