Provider Demographics
NPI:1962660878
Name:OUTSIDE THE BOX, INC.
Entity Type:Organization
Organization Name:OUTSIDE THE BOX, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MEGAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:GREEK
Authorized Official - Suffix:
Authorized Official - Credentials:MA
Authorized Official - Phone:317-253-6658
Mailing Address - Street 1:5948 N COLLEGE AVE
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46220-2554
Mailing Address - Country:US
Mailing Address - Phone:317-253-6658
Mailing Address - Fax:317-396-0687
Practice Address - Street 1:5948 N COLLEGE AVE
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46220-2554
Practice Address - Country:US
Practice Address - Phone:317-253-6658
Practice Address - Fax:317-396-0687
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-28
Last Update Date:2008-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services