NPI 1861587230

Success Acq Corp

Organisation Emotionally Disturbed Childrens' Residential Treatment Facility Indianapolis, IN

Practice location

Address: 3455 West Vermont, Indianapolis, IN 46222
Phone: (317) 916-1402
Fax: (317) 630-5221
Mailing address: PO Box 26456, Indianapolis, IN 46226

Authorised official

Name: Chris Jagoditz
Title: Chief Financial Officer
Phone: (317) 524-6360

Registered specialties

Emotionally Disturbed Childrens' Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 322D00000X Licence 43661 (IN)

Other Residential Treatment Facility, Emotionally Disturbed Children providers in Indiana →

Registry record

NPI: 1861587230
Entity type: Organization
NPI issued: 3 Oct 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.