NPI:
1770960536
Provider Name:
EDGEWATER SYSTEMS FOR BALANCED LIVING, INC
Doing Business As: EDGEWATER BEHAVIORAL HEALTH SERVICES, INC
Classification:
Clinic/Center - 261QR0405X
Entity Type:
Organization
Specialization: Rehabilitation, Substance Use Disorder
Address:
4747 W 24TH AVE
GARY, IN
ZIP 46406
Phone:
(219) 977-0110
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EDGEWATER SYSTEMS FOR BALANCED LIVING, INC is a rehabilitation and substance use disorder clinic center in Gary, IN. EDGEWATER SYSTEMS FOR BALANCED LIVING, INC NPI is 1770960536. The provider is registered as an organization entity type.
The provider Is Doing Business As Edgewater Behavioral Health Services, Inc.
The provider's business location address is:
4747 W 24TH AVE
GARY, IN
ZIP 46406
Phone: (219) 977-0110
Fax: (219) 427-1672
The provider's authorized official is Danita Johnson-hughes .
The authorized official title is Ceo and has the following contact phone number (219) 881-2466.
The enumeration date for this NPI number is 4/30/2015 and was last updated on 6/16/2018.