Provider Demographics
NPI:1720489479
Name:MURPHY MENTORING GROUP, INC.
Entity type:Organization
Organization Name:MURPHY MENTORING GROUP, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF PROGRAMS
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:D
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:317-292-5123
Mailing Address - Street 1:609 E 29TH ST RM 102
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46205-4160
Mailing Address - Country:US
Mailing Address - Phone:317-292-5123
Mailing Address - Fax:317-924-4209
Practice Address - Street 1:609 E 29TH ST RM 102
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46205-4160
Practice Address - Country:US
Practice Address - Phone:317-292-5123
Practice Address - Fax:317-924-4209
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-12
Last Update Date:2014-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251V00000XAgenciesVoluntary or Charitable