YERETSIAN MEDICAL CORPORATION NPI 1992950752

NPI Information

NPI: 1992950752
Provider Name: YERETSIAN MEDICAL CORPORATION
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
303 EAST 89TH AVE
STE A
MERRILLVILLE, IN
ZIP 46410
Phone: (219) 738-2345
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YERETSIAN MEDICAL CORPORATION is an adult mental health clinic center in Merrillville, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. YERETSIAN MEDICAL CORPORATION NPI is 1992950752. The provider is registered as an organization entity type.

The provider's business location address is:

303 EAST 89TH AVE
STE A
MERRILLVILLE, IN
ZIP 46410-126
Phone: (219) 738-2345
Fax: (800) 520-4604

The provider's authorized official is Ara K Yeretsian .
The authorized official title is President and has the following contact phone number (219) 738-2345.

The enumeration date for this NPI number is 11/20/2008 and was last updated on 6/18/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM0850X	Clinic/Center	Adult Mental Health	01026546A	INDIANA	Yes

What is NPI?

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This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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