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Parkdale Center Llc
Psychiatric/Mental Health Nurse Practitioner in Chesterton, Indiana
NPI 1568834992

Parkdale Center Llc is a Psychiatric/Mental Health Nurse Practitioner based in Chesterton, IN and is specialized in Psychiatric/Mental Health. Parkdale Center Llc practices in Chesterton, IN. The NPI Number for Parkdale Center Llc is 1568834992 and holds a License No. (Indiana).

The current practice location address for Parkdale Center Llc is 350 Indian Boundary Rd, Chesterton, IN and can be reached out via phone at 888-883-8433.

Location: 350 Indian Boundary Rd, Chesterton, IN, 46304-1511
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1568834992
Provider Name
Parkdale Center Llc
Credential
Provider Entity Type
Organization
Address
350 Indian Boundary Rd, Chesterton, IN, 46304-1511
Phone Number
888-883-8433
Fax Number
Provider Enumeration Date
10/26/2015
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
350 Indian Boundary Rd
City
Chesterton
State
Indiana
Zip
46304-1511
Phone Number
888-883-8433
Fax Number
person
Provider Business Mailing Address Details
Address
350 Indian Boundary Rd
City
Chesterton
State
Indiana
Zip
46304-1511
Phone Number
888-883-8433
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
163WP0808X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rehabilitation, Substance Use Disorder
Taxonomy
261QR0405X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Residential Treatment Facilities
Classification
Substance Abuse Rehabilitation Facility
Speciality
-
Taxonomy
324500000X
License No.
()
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
person
Provider's Taxonomy Details 6
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Psychiatric/Mental Health
Taxonomy
363LP0808X
License No.
()
Definition
Definition to come...
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