Provider Demographics
NPI:1114388071
Name:INDIANAPOLIS TREATMENT CENTER
Entity Type:Organization
Organization Name:INDIANAPOLIS TREATMENT CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:GALEN
Authorized Official - Middle Name:ALBERT
Authorized Official - Last Name:BATTS
Authorized Official - Suffix:
Authorized Official - Credentials:MSSW
Authorized Official - Phone:317-475-9066
Mailing Address - Street 1:529 E 32ND ST
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-3871
Mailing Address - Country:US
Mailing Address - Phone:317-438-0205
Mailing Address - Fax:
Practice Address - Street 1:529 E 32ND ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-3871
Practice Address - Country:US
Practice Address - Phone:317-438-0205
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARCADIA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-03-18
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management