Provider Demographics
NPI:1275255481
Name:URBAN FAMILY INITIATIVE LLC
Entity Type:Organization
Organization Name:URBAN FAMILY INITIATIVE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:W
Authorized Official - Last Name:DIX
Authorized Official - Suffix:III
Authorized Official - Credentials:PHD
Authorized Official - Phone:317-373-3730
Mailing Address - Street 1:3510 WATERSTONE COURT
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-4845
Mailing Address - Country:US
Mailing Address - Phone:317-373-3730
Mailing Address - Fax:
Practice Address - Street 1:5525 GEORGETOWN ROAD
Practice Address - Street 2:SUITE D
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46254-3717
Practice Address - Country:US
Practice Address - Phone:317-373-3730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-14
Last Update Date:2022-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No251B00000XAgenciesCase Management
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No347E00000XTransportation ServicesTransportation BrokerGroup - Multi-Specialty