institution
Mitchell R Goldstein, Md
Community/Behavioral Health Agency in South Bend, Indiana
NPI 1700196698

Mitchell R Goldstein, Md is a Community/Behavioral Health Agency based in South Bend, IN. Mitchell R Goldstein, Md practices in South Bend, IN. The NPI Number for Mitchell R Goldstein, Md is 1700196698 and holds a License No. (Indiana).

The current practice location address for Mitchell R Goldstein, Md is 107 N Eddy St, South Bend, IN and can be reached out via phone at 574-532-0153 and via fax at 574-246-1634.

Location: 107 N Eddy St, South Bend, IN, 46617-2920
institution
Provider Profile Details
NPI Number
1700196698
Provider Name
Mitchell R Goldstein, Md
Credential
Provider Entity Type
Organization
Address
107 N Eddy St, South Bend, IN, 46617-2920
Phone Number
574-532-0153
Fax Number
574-246-1634
Provider Enumeration Date
10/14/2010
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
100346980B 05 IN
institution
Provider Business Practice Location Address Details
Address
107 N Eddy St
City
State
Zip
46617-2920
Phone Number
574-532-0153
Fax Number
574-246-1634
person
Provider Business Mailing Address Details
Address
107 N Eddy St
City
State
Zip
46617-2920
Phone Number
574-532-0153
Fax Number
574-246-1634
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
License No.
()
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 disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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