Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

180 Enterprise

Organization Addiction (Substance Use Disorder) Counselor · NPI 1619564549

180 Enterprise is an Addiction (Substance Use Disorder) Counselor in Indianapolis, Indiana. Registered with an NPI since 2020.

In the registry since
2020
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Practice location Address checks out

3430 Cork Bend Dr
Indianapolis, IN 46239-7669
Phone: (317) 966-7772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X

Record details

NPI number1619564549
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kimtoiya Sam — Owner · (317) 966-7772
NPI enumeratedDecember 27, 2020
Last updated in NPPESDecember 27, 2020
Certification dateDecember 27, 2020
Mailing address3430 Cork Bend Dr, Indianapolis, IN 46239-7669

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