Provider Demographics
NPI:1598034753
Name:YOUTH OUTLOOK INC.
Entity Type:Organization
Organization Name:YOUTH OUTLOOK INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:HUGH
Authorized Official - Middle Name:ANTONIO
Authorized Official - Last Name:HUNTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-702-4348
Mailing Address - Street 1:PO BOX 68196
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-0196
Mailing Address - Country:US
Mailing Address - Phone:317-702-4348
Mailing Address - Fax:317-295-0935
Practice Address - Street 1:4722 BLUFFWOOD DR N
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46228-2912
Practice Address - Country:US
Practice Address - Phone:317-295-0900
Practice Address - Fax:317-295-0935
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-17
Last Update Date:2012-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health