OrganizationActive
Success Acq Corp
NPI 1861587230 · Emotionally Disturbed Childrens' Residential Treatment Facility · Indianapolis, IN
Provider details
- NPI number
- 1861587230
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Chris Jagoditz, Chief Financial Officer(317) 524-6360
- License
- 43661 (IN)
Specialties & taxonomies
Residential Treatment Facilities
Practice location
3455 West Vermont
Indianapolis, IN 46222
Phone: (317) 916-1402
Fax: (317) 630-5221
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 26456
Indianapolis, IN 46226
Registry dates
- Enumerated
- 2006-10-03
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.