NORTHWEST INDIANA TREATMENT CENTER LLC NPI 1366838336

NPI Information

NORTHWEST INDIANA TREATMENT CENTER, LLC is a methadone clinic center in Merrillville, IN. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. NORTHWEST INDIANA TREATMENT CENTER, LLC NPI is 1366838336. The provider is registered as an organization entity type.
The provider Is Doing Business As Medmark Treatment Centers Merrillville.

The provider's business location address is:

8500 BROADWAY
SUITE H
MERRILLVILLE, IN
ZIP 46410-006
Phone: (219) 769-7710
Fax: (219) 769-7758

The provider's authorized official is Michael Saul .
The authorized official title is Vp and has the following contact phone number (214) 379-3300.

The CLIA number assigned to this NPI record is 15D2254315 - other - narcotic treatment progra with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/7/2015 and was last updated on 2/13/2024.

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:

Other Identifiers

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