Southside Youth Council, Inc

Specialty details in registry · Indianapolis, IN

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At a glance

5401 Shelby St, Indianapolis, IN 46227-4216

NPPES record updated Jun 18, 2008. Public records can lag behind changes at a practice.

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Practice location

5401 Shelby St
Indianapolis, IN 46227-4216

Professional details: NPI, taxonomy & registry record

NPI1003994245

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 251S00000X
Enumeration date: Nov 2, 2006
Record updated: Jun 18, 2008

More registry details

Provider type: Organization · Type 2
Other reported name: <UNAVAIL>

Reported taxonomies and licenses

Specialty details in registry

251S00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

5401 Shelby St
Indianapolis, IN 46227-4216

Phone: (317) 788-4451
Fax: (317) 788-4465

Mailing address

3505 WASHINGTON BLVD

INDIANAPOLIS, IN 462053718

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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