NPI 1225140965

Lutheran Child and Family Services of Indiana/Kentucky, INC.

Organisation Psychiatric Residential Treatment Facility Indianapolis, IN

Practice location

Address: 1525 N Ritter Ave, Indianapolis, IN 46219-3026
Phone: (317) 359-5467
Fax: (317) 322-4095

Authorised official

Name: Glenn R Johnson
Title: Interim Executive Director
Phone: (317) 359-5467

Registered specialties

Psychiatric Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 323P00000X Licence 73545 49-900998 (IN)

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Registry record

NPI: 1225140965
Entity type: Organization
NPI issued: 31 Aug 2006
Record last updated: 22 Aug 2020

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.