OrganizationActive
Original Housing Program
NPI 1659928794 · Substance Use Disorder Rehabilitation Clinic/Center · Indianapolis, IN
Provider details
- NPI number
- 1659928794
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Latoya Beverly, Non Clinical(317) 559-5802
Specialties & taxonomies
Ambulatory Health Care Facilities
- Adult Mental Health Clinic/Center261QM0850X
Ambulatory Health Care Facilities
Practice location
3539 N College Ave # 1
Indianapolis, IN 46205-3755
Phone: (317) 258-0302
Approximate (ZIP-level) locationGet directions
Mailing address
3902 N College Ave
Indianapolis, IN 46205-2735
Registry dates
- Enumerated
- 2019-08-22
- Last updated
- 2019-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.