Edgewater Systems For Balanced Living, Inc in Gary - Community/behavioral Health
Edgewater Systems For Balanced Living, Inc - NPI 1316154917
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 1316154917. 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 | 1316154917 |
|---|---|
| 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 |
| Licence No | 100273230 |
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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 |
|---|---|---|---|
| 100273230B | IN | -- |
Post Comment/ Review Below
What is the Edgewater Systems For Balanced Living, Inc's unique identification number?
The Edgewater Systems For Balanced Living, Inc has been assigned the NPI (National Provider Identifier) Number 1316154917 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
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 Edgewater Systems For Balanced Living, Inc's specialty and taxonomy code?
The Edgewater Systems For Balanced Living, Inc's specialty is Community/behavioral Health, and the corresponding taxonomy code is 251S00000X.
On what date did the Edgewater Systems For Balanced Living, Inc receive the assignment of its 1316154917 from the Centers for Medicare & Medicaid Services?
The Edgewater Systems For Balanced Living, Inc was issued its 1316154917 by the Centers for Medicare & Medicaid Services on 2007-05-16.
As of what date were the details pertaining to Edgewater Systems For Balanced Living, Inc last refreshed?
The information related to the Edgewater Systems For Balanced Living, Inc, including its address, specialty, and other relevant details, was last updated on 2019-07-31.