Edgewater Systems For Balanced Living, Inc in Gary - Community/behavioral Health
Edgewater Systems For Balanced Living, Inc - NPI 1225245822
Edgewater Systems For Balanced Living, Inc is a Community/behavioral Health in Gary, Indiana. Edgewater Systems For Balanced Living, Inc practices all healthcare services and medical treatments related to Community/behavioral Health. The NPI Number for Edgewater Systems For Balanced Living, Inc is 1225245822. The last update date is 2019-07-31.
Edgewater Systems For Balanced Living, Inc's current location address is 1100 W 6th Ave, Gary, Indiana. You can contact this provider via phone number 2198854264 and fax number 2198820242. The mailing address for Edgewater Systems For Balanced Living, Inc is 1100 W 6th Ave, Gary, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Edgewater Systems For Balanced Living, Inc |
|---|---|
| Address | 1100 W 6th Ave, Gary, Indiana |
| Phone Number | 2198854264 |
| Fax Number | 2198820242 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Johnson-Hughes Danita |
| Telephone Number | 2198854264 |
NPI Number Detail
| NPI Number | 1225245822 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2019-07-31 |
Provider Mailing Address Detail
| Address | 1100 W 6th Ave |
|---|---|
| City | Gary |
| State | Indiana (IN) |
| Post Code | 464021711 |
| Phone Number | 2198854264 |
| Fax Number | 2198820242 |
Provider's Primary Taxonomy Detail
| Speciality | Community/behavioral Health |
|---|---|
| Taxonomy | 251S00000X |
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Definition: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those dis |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200079390 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Edgewater Systems For Balanced Living, Inc by the Centers for Medicare & Medicaid Services?
The Edgewater Systems For Balanced Living, Inc has been issued the NPI (National Provider Identifier) 1225245822 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Edgewater Systems For Balanced Living, Inc?
The Edgewater Systems For Balanced Living, Inc is situated at 1100 W 6Th Ave, in the city of Gary, state of IN, with the zip code 464021711.
What is the area of specialization for Edgewater Systems For Balanced Living, Inc, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Edgewater Systems For Balanced Living, Inc is Community/behavioral Health, and the corresponding taxonomy code that categorizes this area of expertise is 251S00000X.
When did Edgewater Systems For Balanced Living, Inc receive its 1225245822 assignment?
The Edgewater Systems For Balanced Living, Inc was assigned its 1225245822 on 2007-05-16, which is the date when this unique identifier was issued to the organization.
As of what date was the information regarding Edgewater Systems For Balanced Living, Inc, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Edgewater Systems For Balanced Living, Inc, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2019-07-31.